-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JEg69O+CWjZIkMS4SUmeZ8nkitqXC3+xW8LcB0LNATr0N5jYVK9yCiF/nt26Ck2Z 6ZuU5UwpI1uHaWq6h+4ntg== 0001001614-07-000019.txt : 20070129 0001001614-07-000019.hdr.sgml : 20070129 20070129161352 ACCESSION NUMBER: 0001001614-07-000019 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061231 FILED AS OF DATE: 20070129 DATE AS OF CHANGE: 20070129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILEY CLARKE H CENTRAL INDEX KEY: 0001186916 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 07561208 BUSINESS ADDRESS: STREET 1: 11360 LAKEFIELD DRIVE CITY: DULUTH STATE: GA ZIP: 30097 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TENGASCO INC CENTRAL INDEX KEY: 0001001614 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 870267438 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10215 TECHNOLOGY DRIVE STREET 2: SUITE 301 CITY: KNOXVILLE STATE: TN ZIP: 37932 BUSINESS PHONE: 865-675-1554 MAIL ADDRESS: STREET 1: 10215 TECHNOLOGY DRIVE STREET 2: SUITE 301 CITY: KNOXVILLE STATE: TN ZIP: 37932 5 1 form5_clarkejan17ex.xml X0202 5 2006-12-31 0 0 1 0001001614 TENGASCO INC TGC 0001186916 BAILEY CLARKE H 825 8TH 23RD FLOOR NEW YORK NY 10019 1 0 0 0 Common Stock 111500 D Option Right to buy .81 2006-12-14 4 J 0 1 0 A 2006-12-14 2011-12-13 Common Stock 20000 1 D Option Right to Buy .58 2006-01-20 4 J 0 1 0 A 2006-01-20 2011-01-18 Common Stock 30000 1 D Option Right to Buy .27 2005-09-09 4 J 0 1 0 A 2005-09-09 2010-04-20 Common Stock 50000 1 D Grant of option pursuant to Tengasco, Inc.'s Stock Incentive Plan. s/Clarke H. Bailey 2007-01-29 -----END PRIVACY-ENHANCED MESSAGE-----