0001140361-16-082066.txt : 20161005 0001140361-16-082066.hdr.sgml : 20161005 20161005192846 ACCESSION NUMBER: 0001140361-16-082066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161005 DATE AS OF CHANGE: 20161005 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: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6021 S. SYRACUSE WAY STREET 2: SUITE 117 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 BUSINESS PHONE: 720-420-4460 MAIL ADDRESS: STREET 1: 6021 S. SYRACUSE WAY STREET 2: SUITE 117 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOLPHIN OFFSHORE PARTNERS LP CENTRAL INDEX KEY: 0001287741 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 161923660 BUSINESS ADDRESS: STREET 1: P.O. BOX 16867 CITY: FERNANDINA BEACH STATE: FL ZIP: 32035 BUSINESS PHONE: 904-491-5003 MAIL ADDRESS: STREET 1: P.O. BOX 16867 CITY: FERNANDINA BEACH STATE: FL ZIP: 32035 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SALAS PETER E CENTRAL INDEX KEY: 0001016286 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 161923661 MAIL ADDRESS: STREET 1: P.O. BOX 16867 CITY: FERNANDINA BEACH STATE: FL ZIP: 32035 4 1 form4.xml FORM 4 X0306 4 2016-10-03 0001001614 TENGASCO INC TGC 0001016286 SALAS PETER E P.O. BOX 16867 FERNANDINA BEACH FL 32035 true true 0001287741 DOLPHIN OFFSHORE PARTNERS LP P.O. BOX 16867 FERNANDINA BEACH FL 32035 true Common Stock 2016-10-03 4 J 0 500 0 A 500 D Common Stock 2016-07-01 4 J 0 500 0 A 500 D Common Stock 2016-04-01 4 J 0 500 0 A 500 D Common Stock 21800 D Common Stock 2063916 I By Affiliate Partnership Option Right to Buy 1.2 2016-01-04 4 J 0 1 0 A 2016-01-04 2021-01-03 Common Stock 625 1 D Option Right to Buy 2.2 2015-10-02 4 J 0 1 0 A 2015-10-02 2020-10-01 Common Stock 625 1 D Option Right to Buy 2.7 2015-07-02 4 J 0 1 0 A 2015-07-02 2020-07-01 Common Stock 625 1 D Option Right to Buy 2.3 2015-04-02 4 J 0 1 0 A 2015-04-02 2020-04-01 Common Stock 625 1 D Option Right to buy 2.5 2015-01-05 4 J 0 1 0 A 2015-01-05 2020-01-04 Common Stock 625 1 D Option Right to Buy 4.4 2014-10-02 4 J 0 1 0 A 2014-10-02 2019-10-01 Common Stock 625 1 D Option Right to buy 4.4 2014-07-02 4 J 0 1 0 A 2014-07-02 2019-07-01 Common Stock 625 1 D Option Right to buy 4.8 2014-04-01 4 J 0 1 0 A 2014-04-01 2019-03-31 Common Stock 625 1 D Option Right to buy 4.1 2014-01-03 4 J 0 1 0 A 2014-01-03 2019-01-02 Common Stock 625 1 D Option Right to buy 4.1 2013-10-02 4 J 0 1 0 A 2013-10-02 2018-10-01 Common Stock 625 1 D Option Right to buy 4.8 2013-07-01 4 J 0 1 0 A 2013-07-01 2018-06-30 Common Stock 625 1 D Option Right to buy 6.2 2013-04-01 4 J 0 1 0 A 2013-04-01 2018-03-31 Common Stock 625 1 D Option Right to buy 6.4 2013-01-02 4 J 0 1 0 A 2013-01-02 2018-01-01 Common Stock 625 1 D Option Right to buy 7.3 2012-10-01 4 J 0 1 0 A 2012-10-01 2017-09-30 Common Stock 625 1 D Option Right to buy 8.1 2012-07-02 4 J 0 1 0 A 2012-07-02 2017-07-01 Common Stock 625 1 D Option Right to buy 10.7 2012-04-02 4 J 0 1 0 A 2012-04-02 2017-04-01 Common Stock 625 1 D Option Right to buy 7.5 2012-01-03 4 J 0 1 0 A 2012-01-03 2017-01-02 Common Stock 625 1 D Grant of stock pursuant to Tengasco, Inc's Stock Incentive Plan to Peter E. Salas in his individual capacity. Held directly by Peter E. Salas in his individual capacity. Adjusted to reflect 1:10 reverse stock split effective March 24, 2016. Held directly by Dolphin Offshore Partners L.P. Peter E. Salas, the chairman of Tengasco Inc.'s Board of Directors, is the sole shareholder and controlling person of Dolphin Mgmt. Services, Inc., the managing general partner of Dolphin Offshore Partners, L.P. Adjusted to reflect 1:10 reverse stock split effective March 24, 2016. Grant of option pursuant to Tengasco's Stock Incentive Plan to Peter E. Salas in his individual capacity. Conversion price and number of options adjusted to reflect 1:10 reverse stock split effective March 24, 2016. /s/ Dolphin Offshore Partners, L.P. 2016-10-05 /s/ Peter E. Salas 2016-10-05