0001354488-16-008477.txt : 20161107
0001354488-16-008477.hdr.sgml : 20161107
20161107160554
ACCESSION NUMBER: 0001354488-16-008477
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161026
FILED AS OF DATE: 20161107
DATE AS OF CHANGE: 20161107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Yuma Energy, Inc.
CENTRAL INDEX KEY: 0001672326
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 812235304
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1177 WEST LOOP SOUTH
STREET 2: SUITE 1825
CITY: HOUSTON
STATE: TX
ZIP: 77027
BUSINESS PHONE: 713-968-7000
MAIL ADDRESS:
STREET 1: 1177 WEST LOOP SOUTH
STREET 2: SUITE 1825
CITY: HOUSTON
STATE: TX
ZIP: 77027
FORMER COMPANY:
FORMER CONFORMED NAME: Yuma Delaware Merger Subsidiary, Inc.
DATE OF NAME CHANGE: 20160415
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jacobs James J
CENTRAL INDEX KEY: 0001368353
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37932
FILM NUMBER: 161978122
MAIL ADDRESS:
STREET 1: 801 TRAVIS
STREET 2: SUITE 2020
CITY: HOUSTON
STATE: TX
ZIP: 77002
3
1
issuerdirect_section16.xml
PRIMARY DOCUMENT
X0206
3
2016-10-26
0
0001672326
Yuma Energy, Inc.
YUMA
0001368353
Jacobs James J
1177 WEST LOOP SOUTH, SUITE 1825
HOUSTON
TX
77027
1
Chief Financial Officer
Common Stock
28570
D
Stock Appreciation Rights
12.1
2018-08-22
Common Stock
13416
D
Reflects the undersigned?s beneficial ownership of shares of common stock of the Issuer after the reincorporation of Yuma Energy, Inc., a California corporation, to Delaware and the 1-for-20 reverse stock split.
Includes shares from restricted stock awards after accounting for the reincorporation and the 1-for-20 reverse stock split that vest as to 707 shares on January 1, 2017, 5,461 shares on May 31, 2017, and 5,461 shares on May 31, 2018.
The stock appreciation right award reflects the reincorporation and the 1-for-20 reverse stock split, and vested as to 4,472 SARs on May 31, 2016, and vests as to 4,472 SARs on May 31, 2017, and as to 4,472 SARs on May 31, 2018.
Reflects accounting for reincorporation and 1-for-20 reverse stock split.
/s/ James J. Jacobs
2016-11-07