0000899243-19-005906.txt : 20190304 0000899243-19-005906.hdr.sgml : 20190304 20190304191119 ACCESSION NUMBER: 0000899243-19-005906 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190228 FILED AS OF DATE: 20190304 DATE AS OF CHANGE: 20190304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HULBURT CHRISTOPHER KENT CENTRAL INDEX KEY: 0001350099 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36511 FILM NUMBER: 19656007 MAIL ADDRESS: STREET 1: 2121 OLD GATESBURG ROAD STREET 2: SUITE 110 CITY: STATE COLLEGE STATE: PA ZIP: 16803 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Montage Resources Corp CENTRAL INDEX KEY: 0001600470 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 464812998 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 122 WEST JOHN CARPENTER FREEWAY STREET 2: SUITE 300 CITY: IRVING STATE: TX ZIP: 75039 BUSINESS PHONE: (469) 444-1647 MAIL ADDRESS: STREET 1: 122 WEST JOHN CARPENTER FREEWAY STREET 2: SUITE 300 CITY: IRVING STATE: TX ZIP: 75039 FORMER COMPANY: FORMER CONFORMED NAME: Eclipse Resources Corp DATE OF NAME CHANGE: 20140219 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-02-28 1 0001600470 Montage Resources Corp MR 0001350099 HULBURT CHRISTOPHER KENT 2121 OLD GATESBURG ROAD, SUITE 110 STATE COLLEGE PA 16803 0 0 0 1 See Remarks Common Stock 2019-02-28 4 M 0 11825 A 62745 D Common Stock 2019-02-28 4 M 0 18449 A 81194 D Common Stock 2019-02-28 4 M 0 5518 A 86712 D Common Stock 16555 I See footnote Performance Stock Unit 2019-02-28 4 M 0 11825 0.00 D Common Stock 11825 0 D Performance Stock Unit 2019-02-28 4 M 0 18449 0.00 D Common Stock 18449 0 D Performance Stock Unit 2019-02-28 4 M 0 5518 0.00 D Common Stock 5518 0 D On February 28, 2019, pursuant to the terms of a Separation and Release Agreement (the "Separation Agreement"), a total of 11,825 unvested performance stock units granted to the Reporting Person on April 22, 2016 became vested and converted into shares of common stock, par value $0.01 per share ("Common Stock"), of Montage Resources Corporation (the "Company") on a one-for-one basis. On February 28, 2019, pursuant to the terms of the Separation Agreement, a total of 18,449 unvested performance stock units granted to the Reporting Person on February 24, 2017 became vested and converted into shares of Common Stock on a one-for-one basis. On February 28, 2019, pursuant to the terms of the Separation Agreement, a total of 5,518 unvested performance stock units granted to the Reporting Person on February 23, 2018 became vested and converted into shares of Common Stock on a one-for-one basis, while the remaining 6,715 unvested performance stock units were forfeited and canceled. Represents shares of Common Stock held by CKH Partners II, LP, which is controlled by the Reporting Person. - All balances reflect a 15-to-1 reverse stock split of the Common Stock effected on February 28, 2019. - This beneficial ownership report is filed to report that the Reporting Person is no longer subject to Section 16 of the Securities Exchange Act of 1934, as amended, with respect to securities of the Company. /s/ Christopher Kent Hulburt 2019-03-04