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