SEC Form 4 · accession 0000899243-18-024691
Carbon Energy Corp · CRBO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Yorktown XI Associates LLC
10% Owner
Period of report
Nov 1, 2017
Accepted (ET)
Sep 18, 2018 · 6:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000086264
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock, par value $0.01 per shareF1,F2,F3,F4,F5 | Nov 1, 2017 | M | 432,051 | — | A | 432,051 | I | See Footnotes |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantF2,F4,F5 | — | Nov 1, 2017 | M | 432,051 | D | Apr 3, 2017 | Apr 3, 2024 | Common Stock, par value $0.01 per share | 432,051 | 0 | I |
Explanation of responses
- F1Shares received upon exercise of Warrant No. 2, issued on April 3, 2017 (the "CAC Warrant") to Yorktown Energy Partners XI, L.P. ("Yorktown XI").
- F2The consideration Yorktown XI paid for the full exercise of the CAC Warrant was the transfer and assignment to Carbon Natural Gas Company (the "Issuer") of 2,940 Class A Units of Carbon Appalachian Company, LLC, a Delaware limited liability company.
- F3These shares were inadvertently omitted from one Form 4 filed by the reporting person on April 9, 2018.
- F4These securities are directly owned by Yorktown XI. The reporting person is the sole general partner of Yorktown XI Company LP, the sole general partner of Yorktown XI.
- F5The reporting person disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for Section 16 or any other purpose.