0001413507-17-000119.txt : 20170825 0001413507-17-000119.hdr.sgml : 20170825 20170825102104 ACCESSION NUMBER: 0001413507-17-000119 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170824 FILED AS OF DATE: 20170825 DATE AS OF CHANGE: 20170825 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Henderson James P CENTRAL INDEX KEY: 0001400706 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35245 FILM NUMBER: 171050711 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: 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_150367084881265.xml FORM 4 X0306 4 2017-08-24 0 0001413507 SRC Energy Inc. SRCI 0001400706 Henderson James P 1675 BROADWAY SUITE 2600 DENVER CO 80202 0 1 0 0 EVP & Chief Financial Officer Common Stock 2017-08-24 4 F 0 4795 7.62 D 195779 D To satisfy tax withholding obligation related to vesting of restricted stock units. /s/ James P. Henderson 2017-08-25