0001213900-19-011169.txt : 20190620 0001213900-19-011169.hdr.sgml : 20190620 20190620181029 ACCESSION NUMBER: 0001213900-19-011169 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190618 FILED AS OF DATE: 20190620 DATE AS OF CHANGE: 20190620 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: 19909501 MAIL ADDRESS: STREET 1: 1845 WALNUT STREET, 10TH FLOOR 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 2019-06-18 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 CLO and Secretary Class A Common Stock 2019-06-18 4 J 0 25125 0 D 367822 D Performance Stock Unit 2019-06-18 4 J 0 150000 0 D 2025-08-23 Class A common stock 150000 50000 D The Reporting Person has agreed to forfeit 25,125 unvested restricted stock units. The Reporting Person was previously granted performance and time vesting stock units pursuant to the Issuer's 2018 Long-Term Incentive Plan ("LTIP"). The award time-vests in full on August 23, 2021 and performance-vests upon the Issuer's stock achieving certain market price points. Upon vesting, the Reporting Person shall receive a corresponding number of shares of Class A common stock or, in the sole discretion of the Issuer's Compensation Committee, an amount in cash equal to the fair market value of the shares of Class A common stock otherwise deliverable. The Reporting Person has agreed to forfeit 150,000 unvested performance stock units previously granted under the LTIP. /s/ Jeffrey F. Brotman 2019-06-20