0001413507-19-000033.txt : 20190207 0001413507-19-000033.hdr.sgml : 20190207 20190207175809 ACCESSION NUMBER: 0001413507-19-000033 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: Osborn Cathleen M CENTRAL INDEX KEY: 0001675611 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35245 FILM NUMBER: 19576314 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_154958027596892.xml FORM 4 X0306 4 2019-02-05 0 0001413507 SRC Energy Inc. SRCI 0001675611 Osborn Cathleen M 1675 BROADWAY SUITE 2600 DENVER CO 80202 0 1 0 0 EVP, General Counsel Common Stock 2019-02-05 4 A 0 74531 0 A 179232 D Performance Share Units 0.0 2019-02-05 4 A 0 74530 0 A 2021-12-31 Common Stock 74530.0 74530 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/ Cathleen M. Osborn 2019-02-07