0001213900-18-012940.txt : 20180924 0001213900-18-012940.hdr.sgml : 20180924 20180924175310 ACCESSION NUMBER: 0001213900-18-012940 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180917 FILED AS OF DATE: 20180924 DATE AS OF CHANGE: 20180924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brotman Jeffrey F CENTRAL INDEX KEY: 0001356155 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38158 FILM NUMBER: 181084309 MAIL ADDRESS: STREET 1: C/O LEDGEWOOD STREET 2: 1900 MARKET STREET, SUITE 750 CITY: PHILADELPHIA STATE: PA ZIP: 19103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Falcon Minerals Corp CENTRAL INDEX KEY: 0001703785 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 820820780 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1845 WALNUT STREET, 10TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: 215-832-4161 MAIL ADDRESS: STREET 1: 1845 WALNUT STREET, 10TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: Osprey Energy Acquisition Corp DATE OF NAME CHANGE: 20170413 4 1 ownership.xml X0306 4 2018-09-17 0 0001703785 Falcon Minerals Corp FLMN 0001356155 Brotman Jeffrey F C/O FALCON MINERALS CORPORATION 1845 WALNUT STREET, 10TH FLOOR PHILADELPHIA PA 19103 0 1 0 0 CFO, Chief Legal Officer & Sec Class A Common Stock 2018-09-17 4 J 0 302847 A 327847 D Warrants to purchase common stock 11.50 2018-09-17 4 J 0 94356 0 A 2018-09-22 2023-08-23 Class A common stock 94356 94356 D Shares of Class A common stock and warrants distributed on a pro rata basis to the members of Osprey Sponsor, LLC, of which the reporting person is a non-managing member. /s/ Jeffrey F. Brotman 2018-09-24