0001209191-17-055983.txt : 20171004 0001209191-17-055983.hdr.sgml : 20171004 20171004182733 ACCESSION NUMBER: 0001209191-17-055983 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171002 FILED AS OF DATE: 20171004 DATE AS OF CHANGE: 20171004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOGGINS MYLES W CENTRAL INDEX KEY: 0001317008 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34579 FILM NUMBER: 171122871 MAIL ADDRESS: STREET 1: 1722 ILLINOIS STREET CITY: GOLDEN STATE: CO ZIP: 80401 FORMER NAME: FORMER CONFORMED NAME: Scoggins Myles W DATE OF NAME CHANGE: 20050208 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cobalt International Energy, Inc. CENTRAL INDEX KEY: 0001471261 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 270821169 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: COBALT CENTER STREET 2: 920 MEMORIAL CITY WAY, SUITE 100 CITY: HOUSTON STATE: TX ZIP: 77024 BUSINESS PHONE: (713) 579-9100 MAIL ADDRESS: STREET 1: COBALT CENTER STREET 2: 920 MEMORIAL CITY WAY, SUITE 100 CITY: HOUSTON STATE: TX ZIP: 77024 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-02 0 0001471261 Cobalt International Energy, Inc. CIE 0001317008 SCOGGINS MYLES W C/O COBALT CENTER 920 MEMORIAL CITY WAY, SUITE 100 HOUSTON TX 77024 1 0 0 0 Common Stock 2017-10-02 4 A 0 18248 0.00 A 47045 D The reporting person elected to receive, subject to deferral under the Issuer's Non-Employee Directors Deferral Plan, the reported securities in lieu of a cash retainer under the Issuer's Amended and Restated Non-Employee Directors Compensation Plan in respect of his service to the Board of Directors of the Issuer for the fourth calendar quarter of 2017. On June 16, 2017, the Issuer effected a 1-for-15 reverse stock split of its Common Stock. The amount of securities reported in this Form 4 has been adjusted to reflect the reverse stock split. /s/ Robert F. Bell, Attorney-in-Fact 2017-10-04