FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
TENGASCO INC [ TGC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 01/05/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 218,000(1) | D | ||||||||
Common Stock | 20,420,652(2) | I | By Affiliate Partnership(1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option Right to buy | $0.25 | 01/05/2015 | J(3) | 1 | 01/05/2015 | 01/04/2020 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to Buy | $0.44 | 10/02/2014 | J(3) | 1 | 10/02/2014 | 10/01/2019 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.44 | 07/02/2014 | J(3) | 1 | 07/02/2014 | 07/01/2019 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.48 | 04/01/2014 | J(3) | 1 | 04/01/2014 | 03/31/2019 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.41 | 01/03/2014 | J(3) | 1 | 01/03/2014 | 01/02/2019 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.41 | 10/02/2013 | J(3) | 1 | 10/02/2013 | 10/01/2018 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.48 | 07/01/2013 | J(3) | 1 | 07/01/2013 | 06/30/2018 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.62 | 04/01/2013 | J(3) | 1 | 04/01/2013 | 03/31/2018 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.64 | 01/02/2013 | J(3) | 1 | 01/02/2013 | 01/01/2018 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.73 | 10/01/2012 | J(3) | 1 | 10/01/2012 | 09/30/2017 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.81 | 07/02/2012 | J(3) | 1 | 07/02/2012 | 07/01/2017 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $1.07 | 04/02/2012 | J(3) | 1 | 04/02/2012 | 04/01/2017 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.75 | 01/03/2012 | J(3) | 1 | 01/03/2012 | 01/02/2017 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to Buy | $0.72 | 10/03/2011 | J(3) | 1 | 10/03/2011 | 10/02/2016 | Common Stocik | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $0.84 | 07/06/2011 | J(3) | 1 | 07/06/2011 | 07/05/2016 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to buy | $1.16 | 04/01/2011 | J(3) | 1 | 04/01/2011 | 03/31/2016 | Common Stock | 6,250 | $0 | 1 | D | ||||
Option Right to Buy | $1.08 | 03/17/2011 | J(3) | 1 | 03/17/2011 | 03/16/2016 | Common Stock | 25,000 | $0 | 1 | D | ||||
Option Right to buy | $0.43 | 02/08/2010 | J(3) | 1 | 02/08/2010 | 02/07/2015 | Common Stock | 25,000 | $0 | 1 | D |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Explanation of Responses: |
1. In December 2014 SSB Ventures LLC, a Delaware limited liability company in which Peter. E. Salas and Dolphin Direct Equity Partners, L.P. were members, agreed to convey all of SSB's 15,458,321 Tengasco shares as follows: 218,000 shares of Tengasco, Inc. to Peter E. Salas individually and 15,240,321 shares to Dolphin Offshore Partners, L.P. ("Dolphin Offshore"). Dolphin Offshore already owned 5,180,321 Tengasco shares as previously reported. The conveyance of those shares has been completed as of the date of this Report. Peter E. Salas is the Chairman of Tengasco, Inc.'s Board of Directors and is the sole shareholder and controlling person of Dolphin Mgmt. Services, Inc., the managing general partner of both Dolphin Direct Equity Partners, L.P. and of Dolphin Offshore Partners, L.P. |
2. There has been no change in the total number of shares [i.e. 20,638,642] previously reported as held directly by Peter E. Salas or affiliated partnerships. As of the date of this filing, Peter E. Salas owns 218,000 shares in his individual capacity and 20,420,652 shares by affiliation with Dolphin Offshore Partners, L.P that owns 20,420,652 shares as set out in Table 1 of this filing, for a total of 20,638,642 shares. |
3. Grant of option pursuant to Tengasco's Stock Incentive Plan. |
Remarks: |
/s/ Peter E Salas | 01/07/2015 | |
/s/ Dolphin Offshore Partners, L.P. | 01/07/2015 | |
** 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 4 (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. |