0001415889-22-010821.txt : 20221026
0001415889-22-010821.hdr.sgml : 20221026
20221026202258
ACCESSION NUMBER: 0001415889-22-010821
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220630
FILED AS OF DATE: 20221026
DATE AS OF CHANGE: 20221026
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brown Jason E.
CENTRAL INDEX KEY: 0001550853
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32942
FILM NUMBER: 221334552
MAIL ADDRESS:
STREET 1: 1000 LOUISIANA, SUITE 6700
CITY: HOUSTON
STATE: TX
ZIP: 77002
FORMER NAME:
FORMER CONFORMED NAME: Brown Jason
DATE OF NAME CHANGE: 20120524
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
form4-10262022_051047.xml
X0306
4
2022-06-30
1
0001006655
EVOLUTION PETROLEUM CORP
EPM
0001550853
Brown Jason E.
1155 DAIRY ASHFORD ROAD
SUITE 425
HOUSTON
TX
77079
false
false
false
true
FORMER PRESIDENT & CEO
Common Stock
2022-06-30
4
D
0
271411
0
D
197141
D
Performance Stock Unit
0
2022-06-30
4
D
0
311184
0
D
Common Stock
311184
0
D
Forfeiture of unvested awards upon the June 30, 2022 termination of the reporting person under the terms of a Separation Agreement.
The Company granted performance stock units ("PSUs") pursuant to the Company's 2016 Equity Incentive Plan. Each PSU represents a contingent right to receive one share of Issuer's common stock, subject to the attainment of performance goals and other vesting criteria. Common shares of stock will not be issued until the performance goals and other vesting criteria have been achieved.
/s/ Jason E. Brown
2022-10-26