0001127602-17-014965.txt : 20170418 0001127602-17-014965.hdr.sgml : 20170418 20170418182635 ACCESSION NUMBER: 0001127602-17-014965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170414 FILED AS OF DATE: 20170418 DATE AS OF CHANGE: 20170418 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: Petry Mark R CENTRAL INDEX KEY: 0001354701 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37995 FILM NUMBER: 17767841 MAIL ADDRESS: STREET 1: 1099 18TH STREET, SUITE 1200 CITY: DENVER STATE: CO ZIP: 80238 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-04-14 0001685715 Jagged Peak Energy Inc. JAG 0001354701 Petry Mark R 1125 17TH STREET, SUITE 2400 DENVER CO 80202 1 EVP, Land & Acquisitions Common Stock 2017-04-14 4 A 0 27529 0 A 1352440 D Represents unvested restricted stock units, each of which represents a contingent right to receive one share of Jagged Peak Energy Inc. common stock. The restricted stock units will vest, subject to continued employment through such date, in three pro rata installments on February 15, 2018, February 15, 2019 and February 15, 2020. /s/ Christopher I. Humber, Attorney-in-Fact 2017-04-18