SEC Form 4 · accession 0001655020-17-000079
Extraction Oil & Gas, Inc. · XOG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tom L Brock
Officer — VP, Chief Accounting Officer
Period of report
Oct 4, 2017
Accepted (ET)
Oct 6, 2017 · 11:57 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001655020
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F1 | $15.53 | Oct 4, 2017 | A | 62,821 | A | — | Oct 4, 2027 | COMMON STOCK | 62,821 | 62,821 | D |
Explanation of responses
- F1The options vest in three equal installments on each of December 31, 2017, 2018 and 2019, subject to continued service through each vesting date.