4/A//SEC Filing
Extraction Oil & Gas, Inc. 4/A
Accession 0001104659-16-156893
CIK 0001655020operating
Filed
Nov 13, 7:00 PM ET
Accepted
Nov 14, 4:04 PM ET
Size
13.0 KB
Accession
0001104659-16-156893
Insider Transaction Report
Form 4/AAmended
ERICKSON MARK
DirectorChairman and CEO
Transactions
- Award
Common Stock
2016-10-26+2,046,448→ 2,546,448 total - Award
Common Stock
2016-10-26+81→ 81 total(indirect: See Footnote) - Award
Common Stock
2016-10-26+271,947→ 271,957 total(indirect: See Footnote) - Award
Common Stock
2016-10-26+2,046,449→ 2,046,449 total(indirect: See Footnote) - Award
Common Stock
2016-10-26+271,956→ 271,956 total(indirect: By Spouse)
Footnotes (5)
- [F1]These shares of common stock of Extraction Oil & Gas, Inc. ("XOG") were received by the reporting person in connection with the merger of Extraction Oil & Gas Holdings, LLC ("Holdings") with and into XOG in connection with the closing of the initial public offering of XOG, pursuant to which the reporting person's equity ownership (including outstanding incentive units and restricted units) in Holdings were exchanged for shares of common stock in XOG determined by reference to XOG's implied valuation based on the 10-day volume weighted average price of XOG's common stock following the beginning of trading of XOG's common stock, in accordance with the distribution mechanics set forth in the limited liability company agreement of Holdings.
- [F2]These shares are owned by MAE Holdings 2011 LLC. MAE Holdings 2011 LLC is an entity owned by Mr. Erickson.
- [F3]These shares are owned by MAE Investment Properties 2016, LLC, of which Mr. Erickson holds the managing interest through his sole ownership of Class A Membership Interests in MAE Investment Properties 2016, LLC. The Mark A. Erickson 2016 Grantor Retained Annuity Trust, of which Mr. Erickson is Trustee, owns a 75% non-managing interest in MAE Investment Properties 2016, LLC.
- [F4]These shares are owned by JME Investment Properties 2016, LLC, of which Jane M. Erickson, Mr. Erickson's wife, holds the managing interest through her sole ownership of Class A Membership Interests in JME Investment Properties 2016, LLC. The Jane M. Erickson 2016 Grantor Retained Annuity Trust, of which Ms. Erickson is Trustee, owns a 75% non-managing interest in JME Investment Properties 2016, LLC.
- [F5]These shares were originally reported as being owned directly by Mr. Erickson on the Form 4 filed October 28, 2016.
Documents
Issuer
Extraction Oil & Gas, Inc.
CIK 0001655020
Entity typeoperating
IncorporatedDE
Related Parties
1- filerCIK 0001655020
Filing Metadata
- Form type
- 4/A
- Filed
- Nov 13, 7:00 PM ET
- Accepted
- Nov 14, 4:04 PM ET
- Size
- 13.0 KB