0000903423-18-000649.txt : 20181221 0000903423-18-000649.hdr.sgml : 20181221 20181221163537 ACCESSION NUMBER: 0000903423-18-000649 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181220 FILED AS OF DATE: 20181221 DATE AS OF CHANGE: 20181221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MacDougall Michael G. CENTRAL INDEX KEY: 0001429772 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38083 FILM NUMBER: 181249993 MAIL ADDRESS: STREET 1: 301 COMMERCE STREET STREET 2: SUITE 3300 CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER NAME: FORMER CONFORMED NAME: MacDougall Michael G DATE OF NAME CHANGE: 20080313 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Magnolia Oil & Gas Corp CENTRAL INDEX KEY: 0001698990 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 815365682 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1001 FANNIN STREET STREET 2: SUITE 400 CITY: HOUSTON STATE: TX ZIP: 77002 BUSINESS PHONE: 713-842-9050 MAIL ADDRESS: STREET 1: 1001 FANNIN STREET STREET 2: SUITE 400 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER COMPANY: FORMER CONFORMED NAME: Magnolia Oil & Gas DATE OF NAME CHANGE: 20180801 FORMER COMPANY: FORMER CONFORMED NAME: TPG Pace Energy Holdings Corp. DATE OF NAME CHANGE: 20170224 4 1 macdougall.xml OWNERSHIP DOCUMENT X0306 4 2018-12-20 0 0001698990 Magnolia Oil & Gas Corp MGY 0001429772 MacDougall Michael G. C/O TPG GLOBAL, LLC 301 COMMERCE STREET, SUITE 3300 FORT WORTH TX 76102 1 0 0 0 Class A Common Stock 2018-12-21 4 J 0 2265939 0 A 2363439 I See Explanation of Responses Warrants (right to buy) 11.50 2018-12-20 4 J 0 1408290 0 A 2018-08-30 2023-07-31 Class A Common Stock 1408290 1408290 I See Explanation of Responses Effective December 21, 2018, TPG Pace Energy Sponsor, LLC distributed, in accordance with its limited liability company agreement, all of its shares of Class A common stock of Magnolia Oil & Gas Corporation and all of its warrants pro rata to its members, including Mr. Michael MacDougall. Held through a personal vehicle. (3) Michael LaGatta is signing on behalf of Mr. MacDougall pursuant to the authorization and designation letter dated April 28, 2017, which was previously filed with the Securities and Exchange Commission. /s/ Michael LaGatta on behalf of Michael MacDougall (3) 2018-12-21