0001179110-16-031298.txt : 20161107 0001179110-16-031298.hdr.sgml : 20161107 20161107185805 ACCESSION NUMBER: 0001179110-16-031298 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161026 FILED AS OF DATE: 20161107 DATE AS OF CHANGE: 20161107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Yuma Energy, Inc. CENTRAL INDEX KEY: 0001672326 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 812235304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1177 WEST LOOP SOUTH STREET 2: SUITE 1825 CITY: HOUSTON STATE: TX ZIP: 77027 BUSINESS PHONE: 713-968-7000 MAIL ADDRESS: STREET 1: 1177 WEST LOOP SOUTH STREET 2: SUITE 1825 CITY: HOUSTON STATE: TX ZIP: 77027 FORMER COMPANY: FORMER CONFORMED NAME: Yuma Delaware Merger Subsidiary, Inc. DATE OF NAME CHANGE: 20160415 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sankaty Davis, LLC CENTRAL INDEX KEY: 0001688180 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37932 FILM NUMBER: 161979568 BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL CREDIT, LP STREET 2: 200 CLARENDON STREET CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-516-2700 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL CREDIT, LP STREET 2: 200 CLARENDON STREET CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAIN CAPITAL CREDIT MEMBER, LLC CENTRAL INDEX KEY: 0001309111 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37932 FILM NUMBER: 161979569 BUSINESS ADDRESS: STREET 1: 200 CLARENDON STREET CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-516-2000 MAIL ADDRESS: STREET 1: 200 CLARENDON STREET CITY: BOSTON STATE: MA ZIP: 02116 FORMER NAME: FORMER CONFORMED NAME: SANKATY CREDIT MEMBER, LLC DATE OF NAME CHANGE: 20041118 3 1 edgar.xml FORM 3 - X0206 3 2016-10-26 0 0001672326 Yuma Energy, Inc. YUMA 0001309111 BAIN CAPITAL CREDIT MEMBER, LLC C/O BAIN CAPITAL CREDIT, LP 200 CLARENDON STREET BOSTON MA 02116 0 0 1 0 0001688180 Sankaty Davis, LLC C/O BAIN CAPITAL CREDIT, LP 200 CLARENDON STREET BOSTON MA 02116 0 0 1 0 Common Stock 1607301 I See Footnotes Bain Capital Credit Member, LLC ("BCCM) is the administrative member of Sankaty Davis, LLC ("Sankaty Davis"). As a result, BCCM may be deemed to share voting and dispositive power with respect to all of the shares of Common Stock held by Sankaty Davis. BCCM disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein. Reflects Sankaty Davis' beneficial ownership of shares of common stock of the Issuer after the reincorporation of Yuma Energy, Inc., a California corporation, to Delaware and the 1-for-20 reverse stock split. /s/ Bain Capital Credit Member, LLC 2016-11-07 /s/ Sankaty Davis, LLC 2016-11-07