0001413507-19-000032.txt : 20190207
0001413507-19-000032.hdr.sgml : 20190207
20190207175734
ACCESSION NUMBER: 0001413507-19-000032
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190205
FILED AS OF DATE: 20190207
DATE AS OF CHANGE: 20190207
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: 19576312
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_154958024007924.xml
FORM 4
X0306
4
2019-02-05
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
2019-02-05
4
A
0
151911
0
A
391494
D
Performance Share Units
0.0
2019-02-05
4
A
0
151912
0
A
2021-12-31
Common Stock
151912.0
151912
D
Reflects a grant of restricted stock units that will vest 33% on each of January 1, 2020 and January 1, 2021 and 34% on January 1, 2022 provided that the recipient continues to provide substantial services to the Company or an affiliate continuously through the applicable vesting dates.
The reporting person may vest in 0% - 200% of the Target Performance Share Units based on a combination of absolute Total Shareholder Return ("TSR") and relative TSR of the Company measured against the TSR of certain peer companies, both as measured over the period between January 1, 2019 and December 31, 2021 provided that the recipient continues to provide substantial services to the Company or an affiliate continuously from the grant date through December 31, 2021.
/s/ James P. Henderson
2019-02-07