0001006655-21-000062.txt : 20211210 0001006655-21-000062.hdr.sgml : 20211210 20211210161621 ACCESSION NUMBER: 0001006655-21-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211209 FILED AS OF DATE: 20211210 DATE AS OF CHANGE: 20211210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dozier William CENTRAL INDEX KEY: 0001350032 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32942 FILM NUMBER: 211485508 MAIL ADDRESS: STREET 1: 3000 SAGE #1312 CITY: HOUSTON STATE: TX ZIP: 77056 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_163917095946015.xml FORM 4 X0306 4 2021-12-09 0 0001006655 EVOLUTION PETROLEUM CORP EPM 0001350032 Dozier William 1155 DAIRY ASHFORD, SUITE 425 HOUSTON TX 77079 1 0 0 0 Common Stock 2021-12-09 4 A 0 11386 5.27 A 190861 D Award of Restricted Stock pursuant to Company's 2016 Equity Incentive Plan, subject to vesting. /s/ William Dozier 2021-12-10