SEC Form 4 · accession 0001311645-17-000006
EMPIRE PETROLEUM CORP · EP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tony Kamin
Director
Period of report
Dec 23, 2016
Accepted (ET)
Jan 26, 2017 · 5:02 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000887396
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrant (Right to Buy) | $0.15 | Dec 23, 2016 | A | 500,000 | A | Dec 23, 2016 | Dec 23, 2021 | Common Stock | 500,000 | 500,000 | I |
| Common Stock Warrant (Right to Buy) | $0.25 | Dec 23, 2016 | A | 1,500,000 | A | Dec 23, 2016 | Dec 23, 2021 | Common Stock | 1,500,000 | 1,500,000 | I |