0001104659-21-000903.txt : 20210105 0001104659-21-000903.hdr.sgml : 20210105 20210105160443 ACCESSION NUMBER: 0001104659-21-000903 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210101 FILED AS OF DATE: 20210105 DATE AS OF CHANGE: 20210105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dey Peter James CENTRAL INDEX KEY: 0001409449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34018 FILM NUMBER: 21505402 MAIL ADDRESS: STREET 1: 94 GLEN ROAD CITY: TORONTO STATE: A6 ZIP: M4W 2V6 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GRAN TIERRA ENERGY INC. CENTRAL INDEX KEY: 0001273441 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 900, 520 3RD AVENUE S.W. CITY: CALGARY STATE: A0 ZIP: T2P 0R3 BUSINESS PHONE: (403) 265-3221 MAIL ADDRESS: STREET 1: 900, 520 3RD AVENUE S.W. CITY: CALGARY STATE: A0 ZIP: T2P 0R3 FORMER COMPANY: FORMER CONFORMED NAME: GRAN TIERRA ENERGY, INC. DATE OF NAME CHANGE: 20051130 FORMER COMPANY: FORMER CONFORMED NAME: GOLDSTRIKE INC DATE OF NAME CHANGE: 20040113 FORMER COMPANY: FORMER CONFORMED NAME: GOLKSTRIKE INC DATE OF NAME CHANGE: 20031216 4 1 tm211703d7_form4.xml FORM 4 X0306 4 2021-01-01 0 0001273441 GRAN TIERRA ENERGY INC. GTE 0001409449 Dey Peter James C/O GRAN TIERRA ENERGY INC. 900, 520 3 AVENUE SW CALGARY A0 T2P 0R3 ALBERTA, CANADA 1 0 0 0 Deferred Stock Units 2021-01-01 4 A 0 115692 0 A Common Stock 115692 762648 D Stock Option (Right to Buy) 0.36 2021-01-01 4 A 0 30208 0 A 2021-01-01 2026-01-01 Common Stock 30208 30208 D Deferred stock units convert into common stock on a one-for-one basis. Each deferred stock unit represents a contingent right to receive one share of Gran Tierra Energy Inc. common stock. The deferred stock units vest in full at such time as the reporting person ceases to be a member of the Board of Directors of the Issuer. /s/ Diane Phillips, Attorney-In Fact 2021-01-05