4//SEC Filing
Extraction Oil & Gas, Inc. 4
Accession 0001179110-16-031700
CIK 0001655020operating
Filed
Nov 15, 7:00 PM ET
Accepted
Nov 16, 4:47 PM ET
Size
11.3 KB
Accession
0001179110-16-031700
Insider Transaction Report
Form 4
ERICKSON MARK
DirectorChairman and CEO
Transactions
- Other
COMMON STOCK
2016-11-14−978,470→ 1,567,978 total - Other
Common Stock
2016-11-14+2,717,970→ 2,717,970 total(indirect: See Footnote (2))
Holdings
- 271,957(indirect: See Footnote (5))
Common Stock
- 81(indirect: See footnote (3))
Common stock
- 271,956(indirect: By Spouse)
Common Stock
- 2,046,449(indirect: See Footnote (4))
Common Stock
Footnotes (5)
- [F1]Represents shares of common stock that the reporting person transferred to Extraction Employee Incentive, LLC ("EEI") for the purpose of making grants of restricted stock units (the "Awards") to certain employees (the "Recipients") of Extraction Oil & Gas, Inc. and its subsidiaries. Upon satisfaction of the vesting conditions with respect to such Awards, the Recipients will receive shares of common stock held by EEI in settlement of such Awards. The shares acquired by EEI include shares transferred by other persons, and is reported in the aggregate.
- [F2]These shares are owned by Extraction Employee Incentive, LLC, an entity in which the reporting person owns a membership interest. The Reporting Person disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any. Pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), this filing shall not be deemed an admission that the Reporting Person is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owners of any equity securities in excess of their respective pecuniary interests.
- [F3]These shares are owned by MAE Holdings 2011 LLC. MAE Holdings 2011 LLC is an entity owned by Mr. Erickson.
- [F4]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.
- [F5]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.
Documents
Issuer
Extraction Oil & Gas, Inc.
CIK 0001655020
Entity typeoperating
IncorporatedDE
Related Parties
1- filerCIK 0001655020
Filing Metadata
- Form type
- 4
- Filed
- Nov 15, 7:00 PM ET
- Accepted
- Nov 16, 4:47 PM ET
- Size
- 11.3 KB