Home/Filings/4/0001655020-19-000134
4//SEC Filing

ERICKSON MARK 4

Accession 0001655020-19-000134

CIK 0001655020other

Filed

Oct 20, 8:00 PM ET

Accepted

Oct 21, 5:43 PM ET

Size

9.7 KB

Accession

0001655020-19-000134

Insider Transaction Report

Form 4
Period: 2019-10-17
ERICKSON MARK
DirectorChairman and CEO
Transactions
  • Tax Payment

    COMMON STOCK

    2019-10-17$2.32/sh93,787$217,5861,520,755 total
Holdings
  • COMMON STOCK

    (indirect: See Footnote (3))
    2,046,449
  • COMMON STOCK

    (indirect: See Footnote (4))
    81
  • COMMON STOCK

    (indirect: See Footnote (2))
    271,957
  • COMMON STOCK

    (indirect: By Spouse)
    271,956
  • COMMON STOCK

    (indirect: See Footnote (1))
    755,995
Footnotes (4)
  • [F1]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.
  • [F2]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.
  • [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 MAE Holdings 2011 LLC. MAE Holdings 2011 LLC is an entity owned by Mr. Erickson.

Issuer

Extraction Oil & Gas, Inc.

CIK 0001655020

Entity typeother

Related Parties

1
  • filerCIK 0001134139

Filing Metadata

Form type
4
Filed
Oct 20, 8:00 PM ET
Accepted
Oct 21, 5:43 PM ET
Size
9.7 KB