0001144204-17-001643.txt : 20170110 0001144204-17-001643.hdr.sgml : 20170110 20170110170653 ACCESSION NUMBER: 0001144204-17-001643 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161118 FILED AS OF DATE: 20170110 DATE AS OF CHANGE: 20170110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Samson Oil & Gas LTD CENTRAL INDEX KEY: 0001404079 STANDARD INDUSTRIAL CLASSIFICATION: DRILLING OIL & GAS WELLS [1381] IRS NUMBER: 205250290 STATE OF INCORPORATION: NY FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: LEVEL 16, AMP BUILDING STREET 2: 140 ST GEORGES TERRACE CITY: PERTH, WA STATE: C3 ZIP: 6000 BUSINESS PHONE: 618 9220 9830 MAIL ADDRESS: STREET 1: PO BOX 7654 STREET 2: CLOISTERS SQUARE CITY: PERTH, WESTERN AUSTRALIA STATE: C3 ZIP: 6085 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HILL PETER J CENTRAL INDEX KEY: 0001248342 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-33578 FILM NUMBER: 17521231 BUSINESS ADDRESS: STREET 1: 1150 DIMOCK LANE CITY: NAPLES STATE: FL ZIP: 34110 BUSINESS PHONE: 303-260-6041 MAIL ADDRESS: STREET 1: 1150 DIMOCK LANE CITY: NAPLES STATE: FL ZIP: 34110 4/A 1 v456357_form4a.xml OWNERSHIP DOCUMENT X0306 4/A 2016-11-18 2016-11-21 0 0001404079 Samson Oil & Gas LTD SSN 0001248342 HILL PETER J C/O SAMSON OIL & GAS LIMITED 1331 17TH STREET, SUITE 710 DENVER CO 80202 1 0 0 1 Chairman Ordinary Shares 2016-11-18 4 A 0 8818800 0.0035 A 8818800 D Ordinary Shares 2016-11-18 4 F 0 3527600 0.0035 D 5291200 D Options to Purchase Ordinary Shares 0.0052 2016-11-18 4 A 0 30000000 0 A 2026-11-15 Ordinary Shares 30000000 30000000 D The exercise price is priced in Australian dollars. This is the U.S. dollar equivalent of the price of A$0.007 using the rate of exchange published by the Reserve Bank of Australia for November 18, 2016 (A$1.00=US$0.7394). The options will fully vest on November 17, 2017 (the one-year anniversary of shareholder approval of the plan pursuant to which the options were granted) so long as the reporting person remains a director of SSN on such date. /s/ Robyn Lamont, as Attorney-in-Fact for Peter J. Hill 2017-01-10