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