Initial Statement of Beneficial Ownership (3)
May 12 2020 - 04:16PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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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 * Shah
Nealesh D. |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
5/11/2020
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3. Issuer Name and Ticker or Trading
Symbol Kosmos Energy Ltd. [KOS] |
(Last)
(First)
(Middle)
8176 PARK LANE, SUITE 500 |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
SVP and CFO / |
(Street)
DALLAS, TX 75231
(City)
(State)
(Zip)
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5. 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 Beneficially
Owned
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1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Common Stock |
599906 (1) |
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. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative
Security |
5. Ownership Form of Derivative Security: Direct (D)
or Indirect (I)
(Instr. 5) |
6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
This number includes: (a)
508,740 shares of common stock of the Issuer held by the Reporting
Person; (b) 13,333 restricted share units that were granted to the
Reporting Person under the Issuer's Long Term Incentive Plan (the
"Plan") on January 22, 2018, (c) 28,333 restricted share units that
were granted to the Reporting Person under the Plan on January 31,
2019; and (d) 49,500 restricted share units that were granted to
the Reporting Person under the Plan on January 31,
2020. |
Reporting
Owners
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Reporting Owner Name / Address |
Relationships
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Director |
10% Owner |
Officer |
Other |
Shah Nealesh D.
8176 PARK LANE, SUITE 500
DALLAS, TX 75231 |
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SVP and CFO |
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Signatures
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By: /s/ Richard J Stephens, as
Attorney-in-Fact |
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5/12/2020 |
**Signature of
Reporting Person |
Date |