0001104659-22-077594.txt : 20220706
0001104659-22-077594.hdr.sgml : 20220706
20220706110223
ACCESSION NUMBER: 0001104659-22-077594
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210802
FILED AS OF DATE: 20220706
DATE AS OF CHANGE: 20220706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schultz Roderick A.
CENTRAL INDEX KEY: 0001872155
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32942
FILM NUMBER: 221067779
MAIL ADDRESS:
STREET 1: 4621 PINERIDGE STREET
CITY: HOUSTON
STATE: TX
ZIP: 77009
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/A
1
tm2220479-1_4aseq1.xml
OWNERSHIP DOCUMENT
X0306
4/A
2021-08-02
2021-08-04
1
0001006655
EVOLUTION PETROLEUM CORP
EPM
0001872155
Schultz Roderick A.
4621 PINERIDGE STREET
HOUSTON
TX
77009
0
1
0
0
Chief Accounting Officer
Common Stock
2021-08-02
4
D
0
71045
0.00
D
51533
D
Contingent Performance Stock Grant
0
2021-08-02
4
D
0
19361
0
D
2024-12-09
Common Stock
19361
0
D
Forfeiture of unvested awards upon the August 2, 2021 retirement of the reporting person under the terms of a Separation Agreement.
Award of contingent restricted stock is subject to the grant agreement's vesting conditions.
/s/ Roderick A. Schultz
2022-07-06