0001413507-15-000057.txt : 20151229 0001413507-15-000057.hdr.sgml : 20151229 20151229191858 ACCESSION NUMBER: 0001413507-15-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151228 FILED AS OF DATE: 20151229 DATE AS OF CHANGE: 20151229 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY RESOURCES CORP CENTRAL INDEX KEY: 0001413507 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 202835920 STATE OF INCORPORATION: CO FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 20203 HIGHWAY 60 CITY: PLATTEVILLE STATE: CO ZIP: 80651 BUSINESS PHONE: 303-591-7413 MAIL ADDRESS: STREET 1: 20203 HIGHWAY 60 CITY: PLATTEVILLE STATE: CO ZIP: 80651 FORMER COMPANY: FORMER CONFORMED NAME: Brishlin Resources, Inc. DATE OF NAME CHANGE: 20071217 FORMER COMPANY: FORMER CONFORMED NAME: Blue Star Energy Inc DATE OF NAME CHANGE: 20070926 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENNINGS FRANK L CENTRAL INDEX KEY: 0001273410 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35245 FILM NUMBER: 151312071 MAIL ADDRESS: STREET 1: 5455 SPINE ROAD SUITE C CITY: BOULDER STATE: CO ZIP: 80301 4 1 wf-form4_145143472775636.xml FORM 4 X0306 4 2015-12-28 0 0001413507 SYNERGY RESOURCES CORP SYRG 0001273410 JENNINGS FRANK L 1625 BROADWAY SUITE 300 DENVER CO 80202 0 1 0 0 Chief Accounting Officer Common Stock 2015-12-28 4 A 0 15000 0 A 67191 D Shares to vest in three equal annual installments. /s/ Frank L. Jennings 2015-12-29