0001413507-19-000066.txt : 20190226
0001413507-19-000066.hdr.sgml : 20190226
20190226171037
ACCESSION NUMBER: 0001413507-19-000066
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190225
FILED AS OF DATE: 20190226
DATE AS OF CHANGE: 20190226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peterson Lynn A
CENTRAL INDEX KEY: 0001394633
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35245
FILM NUMBER: 19634435
MAIL ADDRESS:
STREET 1: 1625 BROADWAY, SUITE 250
CITY: DENVER
STATE: CO
ZIP: 80202
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SRC Energy Inc.
CENTRAL INDEX KEY: 0001413507
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 202835920
STATE OF INCORPORATION: CO
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1675 BROADWAY
STREET 2: SUITE 2600
CITY: DENVER
STATE: CO
ZIP: 80202
BUSINESS PHONE: 720-616-4300
MAIL ADDRESS:
STREET 1: 1675 BROADWAY
STREET 2: SUITE 2600
CITY: DENVER
STATE: CO
ZIP: 80202
FORMER COMPANY:
FORMER CONFORMED NAME: SYNERGY RESOURCES Corp
DATE OF NAME CHANGE: 20160415
FORMER COMPANY:
FORMER CONFORMED NAME: SYNERGY RESOURCES CORP
DATE OF NAME CHANGE: 20081104
FORMER COMPANY:
FORMER CONFORMED NAME: Brishlin Resources, Inc.
DATE OF NAME CHANGE: 20071217
4
1
wf-form4_155121902310443.xml
FORM 4
X0306
4
2019-02-25
0
0001413507
SRC Energy Inc.
SRCI
0001394633
Peterson Lynn A
1675 BROADWAY
SUITE 2600
DENVER
CO
80202
1
1
0
0
President, CEO
Common Stock
2019-02-25
4
F
0
13205
4.85
D
1133620
D
To satisfy tax withholding obligation related to vesting of restricted stock units.
/s/ Cathleen M. Osborn, Attorney-in-Fact
2019-02-26