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