0001140361-17-001022.txt : 20170106 0001140361-17-001022.hdr.sgml : 20170106 20170106172050 ACCESSION NUMBER: 0001140361-17-001022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170104 FILED AS OF DATE: 20170106 DATE AS OF CHANGE: 20170106 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: Behrent Matthew K CENTRAL INDEX KEY: 0001334032 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 17515115 MAIL ADDRESS: STREET 1: 9999 EAST 121ST STREET CITY: FISHERS STATE: IN ZIP: 46037 4 1 form4.xml FORM 4 X0306 4 2017-01-04 0001001614 TENGASCO INC TGC 0001334032 Behrent Matthew K SUITE 117 6021 S. SYRACUSE WAY GREENWOOD VILLAGE CO 80111 true Common Stock 2017-01-04 4 J 0 500 0 A 5300 D Grant of stock pursuant to Tengasco, Inc.'s Stock Incentive Plan. /s/ Matthew K. Behrent 2017-01-06