0001413507-17-000008.txt : 20170103 0001413507-17-000008.hdr.sgml : 20170103 20170103164301 ACCESSION NUMBER: 0001413507-17-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161228 FILED AS OF DATE: 20170103 DATE AS OF CHANGE: 20170103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY RESOURCES Corp 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: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 720-616-4300 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 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 FORMER COMPANY: FORMER CONFORMED NAME: Blue Star Energy Inc DATE OF NAME CHANGE: 20070926 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Osborn Cathleen M CENTRAL INDEX KEY: 0001675611 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35245 FILM NUMBER: 17502348 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 4 1 wf-form4_148347976631477.xml FORM 4 X0306 4 2016-12-28 0 0001413507 SYNERGY RESOURCES Corp SYRG 0001675611 Osborn Cathleen M 1625 BROADWAY SUITE 300 DENVER CO 80202 0 1 0 0 Vice President/General Counsel Common Stock 2016-12-28 4 F 0 509 9.06 D 76813 D To satisfy tax withholding obligation related to vesting of restricted stock units. Cathleen M. Osborn 2017-01-03