0001104659-17-006451.txt : 20170203 0001104659-17-006451.hdr.sgml : 20170203 20170203163247 ACCESSION NUMBER: 0001104659-17-006451 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170203 DATE AS OF CHANGE: 20170203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jagged Peak Energy Inc. CENTRAL INDEX KEY: 0001685715 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 813943703 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1125 17TH STREET, SUITE 2400 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: (720) 215-3700 MAIL ADDRESS: STREET 1: 1125 17TH STREET, SUITE 2400 CITY: DENVER STATE: CO ZIP: 80202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULT JOHN R CENTRAL INDEX KEY: 0001342932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37995 FILM NUMBER: 17572571 MAIL ADDRESS: STREET 1: 1001 LOUISIANA STREET CITY: HOUSTON STATE: TX ZIP: 77002 4 1 a4.xml 4 X0306 4 2017-02-01 0 0001685715 Jagged Peak Energy Inc. JAG 0001342932 SULT JOHN R 1125 17TH STREET, SUITE 2400 DENVER CO 80202 1 0 0 0 Common stock 2017-02-01 4 P 0 25000 15.00 A 25000 D These shares of common stock were purchased in the directed share program conducted in connection with Jagged Peak Energy Inc.'s initial public offering. /s/ John R. Sult, by Christopher I. Humber, as Attorney-in-Fact 2017-02-01