Statement of Changes in Beneficial Ownership (4)
February 25 2020 - 5:22PM
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
*
Daches Joseph C |
2. Issuer Name and Ticker or Trading Symbol
LILIS ENERGY, INC.
[
LLEX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO & President |
(Last)
(First)
(Middle)
201 MAIN STREET, SUITE 700 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
10/7/2019 |
(Street)
FORT WORTH, TX 76102
(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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 10/7/2019 | | F | | 42796 | D | (1) | 1136763 | D | |
Common Stock | 12/3/2019 | | F | | 29083 | D | (2) | 1107680 | D | |
Common Stock | 2/18/2020 | | F | | 114147 | D | (3) | 993533 | D | |
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 |
Explanation of Responses: |
(1) | This forfeiture was undertaken solely to satisfy tax withholding liabilities relating to the vesting of restricted share awards held by the Reporting Person. The Reporting Person made the withholding election on both October 7, 2019 (32,142 shares) and December 3, 2019 (10,654 shares) with respect to restricted shares that vested on October 5, 2019. The aggregate value of the common shares so withheld was based on the closing price of the common shares on the NYSE American on the vesting date, which was $0.33. |
(2) | This forfeiture was undertaken solely to satisfy tax withholding liabilities relating to the vesting of restricted share awards held by the Reporting Person. The Reporting Person made the withholding election on December 3, 2019 with respect to restricted shares that vested on February 14, 2019. The aggregate value of the common shares so withheld was based on the closing price of the common shares on the NYSE American on the vesting date, which was $1.99. |
(3) | This forfeiture was undertaken solely to satisfy tax withholding liabilities relating to the vesting of restricted share awards held by the Reporting Person. The Reporting Person made the withholding election on February 18, 2020 with respect to restricted shares that vested on February 14, 2020. The aggregate value of the common shares so withheld was based on the closing price of the common shares on the NYSE American on the vesting date, which was $0.28. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Daches Joseph C 201 MAIN STREET, SUITE 700 FORT WORTH, TX 76102 |
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| CEO & President |
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Signatures
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/s/ Christa Garrett, Attorney-in-Fact for Joseph C. Daches | | 2/24/2020 |
**Signature of Reporting Person | Date |
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