SEC Form 4 · accession 0001213900-16-012390
Carbon Energy Corp · CRBO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick R McDonald
Officer — CHIEF EXECUTIVE OFFICER · Director
Period of report
Apr 7, 2016
Accepted (ET)
Apr 11, 2016 · 4:59 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 | Apr 7, 2016 | A | 528,000 | $0.00 | A | 3,540,568 | D | |
| COMMON STOCKF2 | holding | — | — | — | 482,704 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance UnitsF1,F3 | — | Apr 7, 2016 | M | 528,000 | D | — | — | Common Stock | 361,600 | 361,600 | D |
Explanation of responses
- F1Reflects the acquisition of shares of Common Stock upon the satisfaction of certain performance criteria.
- F2These securities are directly owned by McDonald Energy, LLC. Mr. McDonald is the sole member and manager of McDonald Energy, LLC.
- F3Each remaining Performance Unit represents a contingent right to receive one share of CRBO Common Stock upon a change in control of CRBO.