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