0001509991-19-000034.txt : 20190118 0001509991-19-000034.hdr.sgml : 20190118 20190118165334 ACCESSION NUMBER: 0001509991-19-000034 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190104 FILED AS OF DATE: 20190118 DATE AS OF CHANGE: 20190118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAXTED BRIAN F CENTRAL INDEX KEY: 0001240698 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35167 FILM NUMBER: 19533673 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: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8176 PARK LANE STREET 2: SUITE 500 CITY: DALLAS STATE: TX ZIP: 75231 BUSINESS PHONE: (214) 445-9600 MAIL ADDRESS: STREET 1: 8176 PARK LANE STREET 2: SUITE 500 CITY: DALLAS STATE: TX ZIP: 75231 4/A 1 wf-form4a_154784839757567.xml FORM 4/A X0306 4/A 2019-01-04 2019-01-08 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 2019-01-04 4 A 0 74464 0 A 1703370 D common shares 2019-01-04 4 F 0 36659 4.60 D 1666711 D common shares 563340 I See footnote common shares 474625 I See footnote common shares 6729864 I See footnote common shares 1174397 I See footnote These amounts reflect an exempt transfer of 563,340 shares previously made by the reporting person to Maxted Ventures LLC. These shares are directly owned by Maxted Ventures 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. 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. 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. This amount reflects a downward adjustment of 1,000 shares that resulted from a prior administrative error. 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. By: /s/ Richard Stephens, as Attorney-in-Fact 2019-01-18