Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 04:20PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * Balmer
Jeffrey S |
2. Issuer Name and Ticker or Trading
Symbol Callon Petroleum Co [ CPE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Senior VP and COO |
(Last)
(First)
(Middle)
2000 W. SAM HOUSTON PKWY. S., SUITE 2000 |
3. Date of Earliest Transaction (MM/DD/YYYY)
1/1/2021
|
(Street)
HOUSTON, TX 77042
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
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1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
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|
|
|
|
|
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13 (1) |
I |
401(k) Shares |
Common Stock |
1/1/2021 |
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M |
|
3000 (1) |
A |
$0 (2) |
5148 (1) |
D |
|
Common Stock |
1/1/2021 |
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F |
|
1340 (3) |
D |
$13.16 (1)(4) |
3808 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
2019 RSU - Stock (Inducement
Award) (5) |
(6) |
1/1/2021 |
|
M |
|
|
3000 (1) |
(5) |
(5) |
Common Stock |
3000.0 (1) |
(6) |
3000 (1) |
D |
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Explanation of
Responses: |
(1) |
Reflects the 1-for-10
reverse split of the common stock, par value $0.01, of Callon
Petroleum Company, effective August 7, 2020. |
(2) |
Restricted Stock Units
("RSUs") convert into common stock on a one-for-one
basis. |
(3) |
Payment of tax liability by
withholding common stock incident to vesting of RSU award issued in
accordance with Rule 16b-3. |
(4) |
Each RSU is the economic
equivalent of one share of Callon Petroleum Company's common stock
at its closing price on the vesting date, or the preceding business
day's closing price if the vesting date should fall on a weekend or
holiday. |
(5) |
On January 1, 2019, the
reporting person was granted 9,000 RSUs (adjusted to reflect the
1-for-10 reverse stock split of common stock described in Footnote
1) subject to three-year ratable vesting with one-third vesting
each year subsequent to the award year. The first tranche vested on
January 1, 2020. The second tranche vested on January 1, 2021. The
third and final tranche will vest on January 1, 2022. |
(6) |
Each RSU is the economic
equivalent of one share of Callon Petroleum Company's common
stock. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Balmer Jeffrey S
2000 W. SAM HOUSTON PKWY. S.
SUITE 2000
HOUSTON, TX 77042 |
|
|
Senior VP and COO |
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Signatures
|
/s/ Jeffrey S. Balmer, by Diana L. Denton,
Attorney-in-Fact |
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1/5/2021 |
**Signature of
Reporting Person |
Date |