0001413507-17-000058.txt : 20170403 0001413507-17-000058.hdr.sgml : 20170403 20170403180214 ACCESSION NUMBER: 0001413507-17-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170330 FILED AS OF DATE: 20170403 DATE AS OF CHANGE: 20170403 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 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: 17735635 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 4 1 wf-form4_149125691977802.xml FORM 4 X0306 4 2017-03-30 0 0001413507 SRC Energy Inc. SRCI 0001675611 Osborn Cathleen M 1675 BROADWAY SUITE 2600 DENVER CO 80202 0 1 0 0 Vice President/General Counsel Common Stock 2017-03-30 4 F 0 3251 8.37 D 91021 D To satisfy tax withholding obligation related to vesting of restricted stock units. /s/ Cathleen M. Osborn 2017-04-03