0001354488-16-008485.txt : 20161107
0001354488-16-008485.hdr.sgml : 20161107
20161107162304
ACCESSION NUMBER: 0001354488-16-008485
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: Lodzinski Frank Alan
CENTRAL INDEX KEY: 0001397150
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37932
FILM NUMBER: 161978401
MAIL ADDRESS:
STREET 1: 1400 WOODLOCH FOREST DRIVE
STREET 2: SUITE 300
CITY: THE WOODLANDS
STATE: TX
ZIP: 77380
3
1
issuerdirect_section16.xml
PRIMARY DOCUMENT
X0206
3
2016-10-26
0
0001672326
Yuma Energy, Inc.
YUMA
0001397150
Lodzinski Frank Alan
1400 WOODLOCH FOREST DRIVE
SUITE 300
THE WOODLANDS
TX
77380
1
Common Stock
21434
D
Common Stock
3117
I
By Azure Energy, LLC
Reflects the undersigned?s beneficial ownership of shares of common stock of the Registrant after the reincorporation of Yuma Energy, Inc., a California corporation, to Delaware and the 1-for-20 reverse stock split.
Includes shares from a restricted stock award after accounting for the reincorporation and the 1-for-20 reverse stock split that vests as to 2,627 shares on January 1, 2017.
The Reporting Person disclaims beneficial ownership of any shares of the Registrant's common stock held by Azure Energy, LLC, except to the extent of his pecuniary interest therein.
/s/ Frank A. Lodzinski
2016-11-07