0001140361-17-001030.txt : 20170106
0001140361-17-001030.hdr.sgml : 20170106
20170106172432
ACCESSION NUMBER: 0001140361-17-001030
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: SALAS PETER E
CENTRAL INDEX KEY: 0001016286
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15555
FILM NUMBER: 17515169
MAIL ADDRESS:
STREET 1: P.O. BOX 16867
CITY: FERNANDINA BEACH
STATE: FL
ZIP: 32035
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: 17515170
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
4
1
form4.xml
FORM 4
X0306
4
2017-01-04
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
2017-01-04
4
J
0
500
0
A
23800
D
Common Stock
2063916
I
By Affiliate Partnership
Grant of stock pursuant to Tengasco, Inc's Stock Incentive Plan to Peter E. Salas in his individual capacity.
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.
/s/ Dolphin Offshore Partners, L.P.
2017-01-06
/s/ Peter E. Salas
2017-01-06