0001213900-18-012942.txt : 20180924 0001213900-18-012942.hdr.sgml : 20180924 20180924175536 ACCESSION NUMBER: 0001213900-18-012942 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180917 FILED AS OF DATE: 20180924 DATE AS OF CHANGE: 20180924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COHEN JONATHAN Z CENTRAL INDEX KEY: 0001168756 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38158 FILM NUMBER: 181084318 MAIL ADDRESS: STREET 1: 1845 WALNUT STREET, 10TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Falcon Minerals Corp CENTRAL INDEX KEY: 0001703785 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 820820780 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1845 WALNUT STREET, 10TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: 215-832-4161 MAIL ADDRESS: STREET 1: 1845 WALNUT STREET, 10TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: Osprey Energy Acquisition Corp DATE OF NAME CHANGE: 20170413 4 1 ownership.xml X0306 4 2018-09-17 0 0001703785 Falcon Minerals Corp FLMN 0001168756 COHEN JONATHAN Z C/O FALCON MINERALS CORPORATION 1845 WALNUT STREET, 10TH FLOOR PHILADELPHIA PA 19103 1 0 1 0 Class A Common Stock 2018-09-17 4 J 0 6875000 D 0 I By Osprey Sponsor, LLC Class A Common Stock 2018-09-17 4 J 0 230363 A 230363 D Class A Common Stock 2018-09-17 4 J 0 793500 A 1543500 I By GRATs Warrants to purchase common stock 11.50 2018-09-17 4 J 0 7500000 0 D 2018-09-22 2023-08-23 Class A common stock 7500000 0 I By Osprey Sponsor, LLC Warrants to purchase common stock 11.50 2018-09-17 4 J 0 597581 0 A 2018-09-22 2023-08-23 Class A common stock 597581 597581 D Shares of Class A common stock and warrants distributed on a pro rata basis to the members of Osprey Sponsor, LLC, the issuer's sponsor. /s/ Jeffrey F. Brotman, Attorney-in-Fact 2018-09-24