0001140361-13-000604.txt : 20130103
0001140361-13-000604.hdr.sgml : 20130103
20130103152556
ACCESSION NUMBER: 0001140361-13-000604
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121231
FILED AS OF DATE: 20130103
DATE AS OF CHANGE: 20130103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SORENSEN CARY V
CENTRAL INDEX KEY: 0001251652
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15555
FILM NUMBER: 13506271
MAIL ADDRESS:
STREET 1: 603 MAIN AVENUE STE. 500
CITY: KNOXVILLE
STATE: TN
ZIP: 37902
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: 11121 KINGSTON PIKE
STREET 2: SUITE E
CITY: KNOXVILLE
STATE: TN
ZIP: 37934
BUSINESS PHONE: 865-675-1554
MAIL ADDRESS:
STREET 1: 11121 KINGSTON PIKE
STREET 2: SUITE E
CITY: KNOXVILLE
STATE: TN
ZIP: 37934
4
1
doc1.xml
FORM 4
X0306
4
2012-12-31
0
0001001614
TENGASCO INC
TGC
0001251652
SORENSEN CARY V
11121 KINGSTON PIKE SUITE E
KNOXVILLE
TN
37934
0
1
0
0
Vice President
Common Stock
2012-12-31
4
S
0
200000
1.06
D
36226
D
Option Right to buy
.44
2010-08-30
4
J
0
1
0
A
2011-08-30
2015-08-29
Common Stock
74000
1
D
Shares were sold in a private transaction to SSB Ventures LLC, a limited liability company in which Cary V. Sorensen is a member, for the consideration of a promissory note dated December 31, 2012 by SSB Ventures LLC in amount of $212,000. Pursuant to the SSB Ventures LLC company agreement, Cary V. Sorensen retains the power to direct the voting by SSB Ventures LLC of the shares sold to it by Cary V. Sorensen.
Grant of option pursuant to Tengasco, Inc. Stock Incentive Plan.
s/Cary V. Sorensen
2013-01-03