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