FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/14/2019 |
3. Issuer Name and Ticker or Trading Symbol
Epsilon Energy Ltd. [ EPSN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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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 Shares | 41,667 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: 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 | ||||
Option (right to buy) | (1) | (1) | Common Shares | 50,000 | $7.34 | D | |
Restricted Stock Grant | (2) | (2) | Common Shares | 83,333 | (5) | D | |
Restricted Stock Grant | (3) | (3) | Common Shares | 62,500 | (5) | D | |
Restricted Stock Grant | (4) | (4) | Common Shares | 62,500 | (5) | D |
Explanation of Responses: |
1. The options are fully vested and expire on June 5, 2022. |
2. This Restricted Stock Grant will vest in equal parts on October 23, 2019 and October 23, 2020, as long as Mr. Raleigh is still employed with Epsilon at each applicable vesting date. Otherwise, the Restricted Stock Grant will be forfeited. |
3. Vesting evenly at each anniversary of the grant date (12/31/2018) over a three year period, as long as Mr. Raleigh is still employed with Epsilon at each applicable vesting date. Otherwise, the Restricted Stock Grant will be forfeited. |
4. Vesting in full or in part on 12/31/2021 assuming specified performance goals have been met. Unvested Shares will be forfeited. |
5. Upon vesting, the Restricted Stock Grants convert into Common Shares on a one-for-one basis. |
/s/ B Lane Bond as attorney-in-fact | 02/25/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |