Statement of Changes in Beneficial Ownership (4)

Date : 12/30/2019 @ 9:26PM
Source : Edgar (US Regulatory)
Stock : Chaparral Energy Inc (CHAP)
Quote : 0.702  0.0012 (0.17%) @ 4:13PM

Statement of Changes in Beneficial Ownership (4)

FORM 4 [X] 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
                      

1. Name and Address of Reporting Person *

Reynolds Kermit Earl
2. Issuer Name and Ticker or Trading Symbol

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

__X__ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
Chief Executive Officer
(Last)          (First)          (Middle)

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

12/27/2019
(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
Class A Common Stock 12/27/2019  D  173311 D (1)215179 D  

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 Security3. Trans. Date3A. Deemed Execution Date, if any4. 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 Date7. 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)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Restricted Stock Units  (2)12/27/2019  D     350000   (2)(3) (2)(3)Class A Common Stock 350000  (2)(3)0 (2)(3)D  

Explanation of Responses:
(1) As a result of Mr. Reynolds' resignation as an employee of Chaparral Energy, Inc. (the "Issuer") on December 27, 2019, a total of 173,311 unvested shares of restricted Class A common stock, par value $0.01 per share ("Common Stock"), of the Issuer were forfeited back to the Issuer. This forfeiture is exempt from Sections 16(a) and 16(b) of the Securities Exchange Act of 1934 (the "Exchange Act") pursuant to Rules 16a-4(d) and 16b-6(d), respectively, under the Exchange Act. Effective as of December 20, 2019, Mr. Reynolds resigned as an officer and director of the Issuer and each of its subsidiaries, but remained an employee until December 27, 2019.
(2) Each restricted stock unit ("RSU") represents a contingent right to receive one share of Common Stock upon vesting and settlement.
(3) As a result of Mr. Reynolds' resignation as an employee of the Issuer on December 27, 2019, a total of 350,000 RSUs were forfeited back to the Issuer. Of these forfeited RSUs, 175,000 RSUs would have vested based on passage of time and 175,000 RSUs would have vested based on both passage of time and the achievement of performance thresholds, all granted under the Issuer's 2019 Long-Term Incentive Plan. This forfeiture is exempt from Sections 16(a) and 16(b) of the Exchange Act pursuant to Rules 16a-4(d) and 16b-6(d), respectively, under the Exchange Act.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Reynolds Kermit Earl
701 CEDAR LAKE BLVD
OKLAHOMA CITY, OK 73114
X
Chief Executive Officer

Signatures
/s/ Justin P. Byrne, Attorney-in-Fact12/30/2019
**Signature of Reporting PersonDate

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