0001413507-18-000065.txt : 20180403 0001413507-18-000065.hdr.sgml : 20180403 20180403193158 ACCESSION NUMBER: 0001413507-18-000065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180129 FILED AS OF DATE: 20180403 DATE AS OF CHANGE: 20180403 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: 18735428 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 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_152279830485509.xml FORM 4 X0306 4 2018-01-29 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 2018-01-29 4 A 0 27438 0 A 112910 D Common Stock 2018-03-30 4 F 0 2174 9.43 D 110736 D Performance Share Units 0.0 2018-01-29 4 A 0 27438 0 A 2020-12-31 Common Stock 27438.0 27438 D Performance Share Units 0.0 2018-01-29 4 A 0 23519 0 A 2020-12-31 Common Stock 23519.0 23519 D Reflects a grant of restricted stock units ("RSUs") that will vest 33% on January 29, 2019, and 34% on each of January 19, 2020 and January 19, 2021 provided that the recipient continues to provide substantial services to the Company or an affiliate continuously through the applicable vesting dates. The number of shares granted was determined by dividing the individual's Award Value for RSUs by the ten trading day volume weighted average closing price of one share of the Company's common stock, as reported by the NYSE American, for the period ending January 1, 2018 (being $8.259 per share), rounded to the nearest whole number. To satisfy tax withholding obligation related to vesting of restricted stock units. The number of shares granted was determined by dividing the individual's Award Value for PSUs by the ten trading day volume weighted average closing price of one share of the Company's common stock, as reported by the NYSE American, for the period ending January 1, 2018 (being $8.259 per share), rounded to the nearest whole number. The reporting person may vest in 0% - 200% of the Target Performance Share Units based on the relative Total Shareholder Return (TSR) of the Company between January 1, 2018 and December 31, 2020, as measured against the TSR of certain peer companies over that period, provided that the recipient continues to provide substantial services to the Company or an affiliate continuously from the grant date through December 31, 2020. The reporting person may vest in 0% - 200% of the Target Goal-Based Performance Share Units based on the Compensation Committee's assessment of the Company's achievement of goals identified over the performance period, provided that the recipient continues to provide substantial services to the Company or an affiliate continuously from the grant date through December 31, 2020. /s/ Cathleen M. Osborn 2018-04-03