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