Statement of Changes in Beneficial Ownership (4)

Date : 09/03/2019 @ 8:14PM
Source : Edgar (US Regulatory)
Stock : Chaparral Energy Inc (CHAP)
Quote : 0.9169  0.0042 (0.46%) @ 12:59AM
After Hours
Last Trade
Last $ 0.92 ▲ 0.00 (0.01%)

Statement of Changes in Beneficial Ownership (4)

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
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
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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
                      

1. Name and Address of Reporting Person *

Carnes Stephanie Anne
2. Issuer Name and Ticker or Trading Symbol

Chaparral Energy, Inc. [ CHAP ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
VP-Corporate Controller
(Last)          (First)          (Middle)

701 CEDAR LAKE BLVD
3. Date of Earliest Transaction (MM/DD/YYYY)

8/30/2019
(Street)

OKLAHOMA CITY, OK 73114
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
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
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

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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
Restricted Stock Units  $0.0  8/30/2019    A     85000       (1)  (1) Restricted Stock Units  85000.0  $0  85000  D   

Explanation of Responses:
(1)  Includes 42,500 restricted stock units that vest based on passage of time ("time units") and 42,500 restricted stock units that vest based on both passage of time and the achievement of performance thresholds ("performance units"), all granted under the Chaparral Energy, Inc. 2019 Long-Term Incentive Plan, dated June 28, 2019, and settleable, at the company's option, in shares of Class A common stock or cash of equivalent value. The time units will vest ratably on August 30, 2020, August 30, 2021, and August 30, 2022, subject to continued employment through the vesting date. On each of August 30, 2020, August 30, 2021, and August 30, 2022, one-third of the performance units multiplied by a factor ranging from 0 to 1.5 will vest, subject to continued employment through the vesting date and the performance of the share price of the company's Class A common stock during the preceding year as compared to the performance of the share price of the common stock of peer companies.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Carnes Stephanie Anne
701 CEDAR LAKE BLVD
OKLAHOMA CITY, OK 73114


VP-Corporate Controller

Signatures
/s/ Justin P. Byrne, Attorney-in-Fact 9/3/2019
**Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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