0001006655-17-000051.txt : 20171108
0001006655-17-000051.hdr.sgml : 20171108
20171108184406
ACCESSION NUMBER: 0001006655-17-000051
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171106
FILED AS OF DATE: 20171108
DATE AS OF CHANGE: 20171108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Keys Randall D
CENTRAL INDEX KEY: 0001050736
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32942
FILM NUMBER: 171187842
MAIL ADDRESS:
STREET 1: 3 HICKORY SHADOWS DR
CITY: HOUSTON
STATE: TX
ZIP: 77055
FORMER NAME:
FORMER CONFORMED NAME: KEYS RANDALL D
DATE OF NAME CHANGE: 19971203
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_151018463268659.xml
FORM 4
X0306
4
2017-11-06
0
0001006655
EVOLUTION PETROLEUM CORP
EPM
0001050736
Keys Randall D
1155 DAIRY ASHFORD, SUITE 425
HOUSTON
TX
77079
0
1
0
0
President and CEO
Common Stock
2017-11-06
4
M
0
12931
7.20
A
264220
D
Common Stock
2017-11-06
4
F
0
16275
7.20
D
247945
D
Common Stock
2017-11-06
4
A
0
26125
0
A
274070
D
Contingent Performance Stock Grant
0.0
2017-11-06
4
M
0
12931
7.20
D
2019-12-04
Common Stock
12931.0
0
D
Contingent Restricted Stock award granted on December 4, 2015 that vested upon attainment of a specific performance goal.
Shares surrendered to the Company to pay income tax withholding obligations.
Award of Restricted Stock pursuant to Company's 2016 Equity Incentive Plan, subject to vesting.
/s/ Randall D. Keys
2017-11-08