0000950103-17-005568.txt : 20170607 0000950103-17-005568.hdr.sgml : 20170607 20170607164416 ACCESSION NUMBER: 0000950103-17-005568 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170601 FILED AS OF DATE: 20170607 DATE AS OF CHANGE: 20170607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kosmos Energy Ltd. CENTRAL INDEX KEY: 0001509991 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 980686001 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: CLARENDON HOUSE STREET 2: 2 CHURCH STREET CITY: HAMILTON STATE: D0 ZIP: HM 11 BUSINESS PHONE: (214) 445-9600 MAIL ADDRESS: STREET 1: 8176 PARK LANE STREET 2: SUITE 500 CITY: DALLAS STATE: TX ZIP: 75231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAXTED BRIAN F CENTRAL INDEX KEY: 0001240698 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35167 FILM NUMBER: 17897709 4 1 dp77134_4-maxted.xml FORM 4 X0306 4 2017-06-01 0 0001509991 Kosmos Energy Ltd. KOS 0001240698 MAXTED BRIAN F C/O KOSMOS ENERGY, LLC 8176 PARK LANE, SUITE 500 DALLAS TX 75231 1 1 0 0 Chief Exploration Officer Common Shares 2017-06-01 4 F 0 11275 6.12 D 1794395 D Common Shares 6729864 I See footnote Common Shares 1175397 I See footnote Common Shares 474625 I See footnote These shares were withheld by the Issuer to satisfy the tax withholding requirement arising from the vesting of restricted share units granted to the reporting person under the Issuer's Long Term Incentive Plan. These shares are directly owned by Maxted Family Investments, Ltd., an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. These shares are directly owned by the reporting person's wife. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. These shares are directly owned by Maxted Holdings, LLC, an entity controlled by the reporting person. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. By: /s/ Phillip Feiner, as Attorney-in-Fact 2017-06-07