0001006655-17-000023.txt : 20170810
0001006655-17-000023.hdr.sgml : 20170810
20170810165259
ACCESSION NUMBER: 0001006655-17-000023
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170810
FILED AS OF DATE: 20170810
DATE AS OF CHANGE: 20170810
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Joe David
CENTRAL INDEX KEY: 0001595999
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32942
FILM NUMBER: 171022068
MAIL ADDRESS:
STREET 1: 2500 CITYWEST BLVD., SUITE 1300
CITY: HOUSTON
STATE: TX
ZIP: 77042
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EVOLUTION PETROLEUM CORP
CENTRAL INDEX KEY: 0001006655
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 411781991
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 1155 DAIRY ASHFORD ROAD
STREET 2: SUITE 425
CITY: HOUSTON
STATE: TX
ZIP: 77079
BUSINESS PHONE: 713-935-0122
MAIL ADDRESS:
STREET 1: 1155 DAIRY ASHFORD ROAD
STREET 2: SUITE 425
CITY: HOUSTON
STATE: TX
ZIP: 77079
FORMER COMPANY:
FORMER CONFORMED NAME: NATURAL GAS SYSTEMS INC/NEW
DATE OF NAME CHANGE: 20040817
FORMER COMPANY:
FORMER CONFORMED NAME: NATURAL GAS SYSTEMS, INC.
DATE OF NAME CHANGE: 20040810
FORMER COMPANY:
FORMER CONFORMED NAME: REALITY INTERACTIVE INC
DATE OF NAME CHANGE: 19960301
4
1
wf-form4_150239836592254.xml
FORM 4
X0306
4
2017-08-10
0
0001006655
EVOLUTION PETROLEUM CORP
EPM
0001595999
Joe David
1155 DAIRY ASHFORD, SUITE 425
HOUSTON
TX
77079
0
1
0
0
SVP & CFO
Common Stock
2017-08-10
4
M
0
1922
8.05
A
364484
D
Common Stock
2017-08-10
4
F
0
789
8.05
D
363695
D
Contingent Performance Stock Grant
0.0
2017-08-10
4
M
0
1922
8.05
D
2018-08-28
Common Stock
1922.0
0
D
Contingent Restricted Stock award granted on August 28, 2014 that vested upon attainment of a specific performance goal.
Shares surrendered to the Company to pay income tax withholding obligations.
/s/ David Joe
2017-08-10