0001654954-21-009680.txt : 20210901
0001654954-21-009680.hdr.sgml : 20210901
20210901195403
ACCESSION NUMBER: 0001654954-21-009680
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210901
FILED AS OF DATE: 20210901
DATE AS OF CHANGE: 20210901
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Evans Harold Douglas
CENTRAL INDEX KEY: 0001754173
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35922
FILM NUMBER: 211231433
MAIL ADDRESS:
STREET 1: 20711 FAIRWATER DRIVE
CITY: KATY
STATE: TX
ZIP: 77450
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PEDEVCO CORP
CENTRAL INDEX KEY: 0001141197
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 223755993
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 575 N. DAIRY ASHFORD
STREET 2: ENERGY CENTER II, SUITE 210
CITY: HOUSTON
STATE: TX
ZIP: 77079
BUSINESS PHONE: 855-733-3826
MAIL ADDRESS:
STREET 1: 575 N. DAIRY ASHFORD
STREET 2: ENERGY CENTER II, SUITE 210
CITY: HOUSTON
STATE: TX
ZIP: 77079
FORMER COMPANY:
FORMER CONFORMED NAME: BLAST ENERGY SERVICES, INC.
DATE OF NAME CHANGE: 20050610
FORMER COMPANY:
FORMER CONFORMED NAME: VERDISYS INC
DATE OF NAME CHANGE: 20010523
4
1
section16.xml
PRIMARY DOCUMENT
X0306
4
2021-09-01
0001141197
PEDEVCO CORP
PED
0001754173
Evans Harold Douglas
575 N. DAIRY ASHFORD
ENERGY CENTER II, SUITE 210
HOUSTON
TX
77079
true
Common Stock
2021-09-01
4
A
false
70000
1.15
A
220000
D
The shares of Restricted Common Stock were issued to the Reporting Person pursuant to Issuer's 2012 Equity Incentive Plan and are subject to forfeiture. The shares fully vest on September 27, 2022, subject to the Reporting Person being a member of the Issuer's Board of Directors on such vesting date, and subject to the terms and conditions of a Restricted Shares Grant Agreement entered into by and between the Issuer and the Reporting Person. Exempt under Rule 16b-3(d).
Issued to the Reporting Person in consideration for services rendered and agreed to be rendered as a member of the Board of Directors of the Issuer.
See Power of Attorney filed as Exhibit 24.1 to the Form 4 filed by the Reporting Person on August 29, 2019.
/s/ Clark R. Moore, attorney-in-fact for H. Douglas Evans
2021-09-01