SEC Form 4 · accession 0000899243-17-011341
Rosehill Resources Inc. · ROSE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tiffany J Thom
Officer — CHIEF FINANCIAL OFFICER
Period of report
Apr 28, 2017
Accepted (ET)
May 1, 2017 · 8:56 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001659122
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Apr 28, 2017 | C | 120,000 | $0.00 | A | 140,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class F Common StockF1 | — | Apr 28, 2017 | C | 120,000 | D | — | — | Class A Common Stock | 1,200,000 | 0 | D |
Explanation of responses
- F1The Class F Common Stock owned by the Reporting Person automatically converted into an aggregate of 120,000 shares of Class A Common Stock and had no expiration date.
Remarks
Exhibit List: Exhibit 24.1 - Power of Attorney