0001006655-21-000063.txt : 20211210
0001006655-21-000063.hdr.sgml : 20211210
20211210161650
ACCESSION NUMBER: 0001006655-21-000063
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: Hargrave Marjorie Anne
CENTRAL INDEX KEY: 0001783211
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32942
FILM NUMBER: 211485517
MAIL ADDRESS:
STREET 1: 999 18TH STREET
STREET 2: SUITE 1925N
CITY: DENVER
STATE: CO
ZIP: 80202
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_163917098353869.xml
FORM 4
X0306
4
2021-12-09
0
0001006655
EVOLUTION PETROLEUM CORP
EPM
0001783211
Hargrave Marjorie Anne
14133 COUNTY RD 9 1/2
LONGMONT
CO
80504
1
0
0
0
Common Stock
2021-12-09
4
A
0
11386
5.27
A
28288
D
Award of Restricted Stock pursuant to Company's 2016 Equity Incentive Plan, subject to vesting.
/s/ Marjorie A. Hargrave
2021-12-10