0001413507-20-000004.txt : 20200102 0001413507-20-000004.hdr.sgml : 20200102 20200102170632 ACCESSION NUMBER: 0001413507-20-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200101 FILED AS OF DATE: 20200102 DATE AS OF CHANGE: 20200102 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: 20502265 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_157800277519281.xml FORM 4 X0306 4 2020-01-01 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 2020-01-01 4 F 0 11617 4.12 D 197623 D To satisfy tax withholding obligation related to vesting of restricted stock units. /s/ Cathleen M. Osborn 2020-01-02