0000899243-18-002704.txt : 20180202
0000899243-18-002704.hdr.sgml : 20180202
20180202183840
ACCESSION NUMBER: 0000899243-18-002704
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180131
FILED AS OF DATE: 20180202
DATE AS OF CHANGE: 20180202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hicks George G
CENTRAL INDEX KEY: 0001706059
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572336
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Fund VI-A, L.P.
CENTRAL INDEX KEY: 0001704987
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572327
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Fund XI (Master), L.P.
CENTRAL INDEX KEY: 0001704962
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572335
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Skyway fund G.P., LLC
CENTRAL INDEX KEY: 0001704964
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572329
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Fund XII G.P., L.P.
CENTRAL INDEX KEY: 0001704881
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572332
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Fund XII (Master), L.P.
CENTRAL INDEX KEY: 0001704882
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572333
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Fund XII UGP, LLC
CENTRAL INDEX KEY: 0001704967
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572331
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Fund XI G.P., LLC
CENTRAL INDEX KEY: 0001704880
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572334
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Investment Partners (Offshore) Master, L.P.
CENTRAL INDEX KEY: 0001705023
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572328
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Varde Skyway Master Fund, L.P.
CENTRAL INDEX KEY: 0001704946
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35330
FILM NUMBER: 18572330
BUSINESS ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
BUSINESS PHONE: 952-374-6998
MAIL ADDRESS:
STREET 1: 901 MARQUETTE AVENUE SOUTH
STREET 2: SUITE 3300
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LILIS ENERGY, INC.
CENTRAL INDEX KEY: 0001437557
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 300 E. SONTERRA BLVD.
STREET 2: SUITE NO. 1220
CITY: SAN ANTONIO
STATE: TX
ZIP: 78258
BUSINESS PHONE: (210) 999-5400
MAIL ADDRESS:
STREET 1: 300 E. SONTERRA BLVD.
STREET 2: SUITE NO. 1220
CITY: SAN ANTONIO
STATE: TX
ZIP: 78258
FORMER COMPANY:
FORMER CONFORMED NAME: RECOVERY ENERGY, INC.
DATE OF NAME CHANGE: 20091104
FORMER COMPANY:
FORMER CONFORMED NAME: UNIVERSAL HOLDINGS INC
DATE OF NAME CHANGE: 20080612
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-01-31
0
0001437557
LILIS ENERGY, INC.
LLEX
0001706059
Hicks George G
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704962
Varde Fund XI (Master), L.P.
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704880
Varde Fund XI G.P., LLC
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704882
Varde Fund XII (Master), L.P.
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704881
Varde Fund XII G.P., L.P.
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704967
Varde Fund XII UGP, LLC
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704946
Varde Skyway Master Fund, L.P.
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704964
Varde Skyway fund G.P., LLC
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001705023
Varde Investment Partners (Offshore) Master, L.P.
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
0001704987
Varde Fund VI-A, L.P.
901 MARQUETTE AVE. S., SUITE 3300
MINNEAPOLIS
MN
055402
0
0
1
0
Series C Convertible Paricipating Preferred Stock
6.15
2018-01-31
4
P
0
41600
1000.00
A
2018-01-31
Common Stock, $0.001 par value
8117073
18134353
I
See footnotes
Series C Convertible Paricipating Preferred Stock
6.15
2018-01-31
4
P
0
29600
1000.00
A
2018-01-31
Common Stock, $0.001 par value
5775610
12903290
I
See footnotes
Series C Convertible Paricipating Preferred Stock
6.15
2018-01-31
4
P
0
13000
1000.00
A
2018-01-31
Common Stock, $0.001 par value
2536585
5666985
I
See footnotes
Series C Convertible Paricipating Preferred Stock
6.15
2018-01-31
4
P
0
6000
1000.00
A
2018-01-31
Common Stock, $0.001 par value
1170731
2615531.76
I
See footnotes
Series C Convertible Paricipating Preferred Stock
6.15
2018-01-31
4
P
0
3000
1000.00
A
2018-01-31
Common Stock, $0.001 par value
585365
1307765.88
I
See footnotes
Series C Convertible Paricipating Preferred Stock
6.15
2018-01-31
4
P
0
6800
1000.00
A
2018-01-31
Common Stock, $0.001 par value
1326829
2964269.33
I
See footnotes
On January 30, 2018, the Issuer and The Varde Fund XI (Master), L.P. ("Fund XI"), The Varde Fund XII (Master), L.P. ("Fund XII"), The Varde Skyway Master Fund, L.P. ("Skyway Fund"), Varde Investment Partners (Offshore) Master, L.P. ("VIPO"), The Varde Fund VI-A, L.P. ("Fund VI-A") and Varde Investment Partners, L.P. ("VIP") (collectively, the "Purchasers") entered into a Securities Purchase Agreement (the "Securities Purchase Agreement"), pursuant to which on January 31, 2018 (the "Closing Date") the Purchasers purchased 100,000 shares of Series C Preferred Stock, from the Issuer in a private placement.
The Series C Preferred Stock is perpetual and has no expiration date. The amount reported reflects the amount of shares of Common Stock issuable upon conversion of the Series C Preferred Stock.
Reflects securities held directly by Fund XI. The Varde Fund XI G.P., LLC ("Fund XI GP") is the general partner of Fund XI.
Reflects securities held directly by Fund XII. The Varde Fund XII G.P., L.P. ("Fund XII GP") is the general partner of Fund XII, and The Varde Fund XII UGP, LLC ("Fund XII UGP") is the general partner of Fund XII GP.
Reflects securities held directly by Skyway Fund. The Varde Skyway Fund G.P., LLC ("Skyway Fund GP") is the general partner of Skyway Fund.
Reflects securities held directly by VIPO. Varde Investment Partners G.P., LLC ("VIP GP") is the general partner of VIP Offshore.
Reflects securities held directly by The Fund VI-A. VIP GP is the general partner of Fund VI-A.
Reflects securities held directly by VIP. VIP GP is the general partner of Fund VIP.
Varde Partners, L.P. ("Managing Member") is the managing member of each of Fund XI GP, Fund XII UGP, Skyway Fund GP and VIP GP. Varde Partners, Inc. ("General Partner") is the general partner of the Managing Member. Following the transaction described above, George G. Hicks may be deemed to beneficially own all of the securities which may be acquired upon conversion of the Series C Preferred Stock because, as the chief executive officer of the General Partner, he may be deemed to have voting and/or dispositive power over such securities.
Due to limitations of the electronic filing system, certain Reporting Persons are filing a separate Form 4.
Each of the Reporting Persons (other than to the extent it directly holds securities reported herein) disclaims beneficial ownership of the securities held by the other Reporting Persons, except to the extent of such Reporting Person's pecuniary interest therein, and, pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934, each of the Reporting Persons (other than to the extent it directly holds securities reported herein) states that the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose.
GEORGE G. HICKS, By: , Name: George G. Hicks
2018-02-02
THE VARDE FUND XI (Master), L.P., By: Varde Partners, L.P., Its Managing Member, By: Varde Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE FUND XI G.P., LLC, By: Vade Partners, L.P., Its Managing Member, By: Vade Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE FUND XII (MASTER), L.P., By: The Vade Fund XII G.P., L.P., Its General Partner, By: The Vade Fund XII UGP, LLC, Its General Partner, By: Vade Partners, L.P., By: Vade Partners, Inc., By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE FUND XII G.P., L.P., By: The Vade Fund XII UGP, LLC, Its General Partner, By: Vade Partners, L.P., Its Managing Member, By: Vade Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE FUND XII UGP, LLC, By: Vade Partners, L.P., Its Managing Member, By: Vade Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE SKYWAY MASTER FUND, L.P., By: Vade Skyway Fund G.P., LLC, Its General Partner, By: Vade Partners, L.P., Its Managing Member, By: Vade Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE SKYWAY FUND G.P., LLC, By: Vade Partners, L.P., Its Managing Member, By: Vade Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02
VARDE INVESTMENT PARTNERS (OFFSHORE) MASTER, L.P., By: Vade Investment Partners G.P., LLC, Its General Partner, By: Vade Partners, L.P., By: Vade Partners, Inc., By: , Name: David A. Marple, Title: General Counsel
2018-02-02
THE VARDE FUND VI-A, L.P., By: Vade Investment Partners G.P., LLC, Its General Partner, By: Vade Partners, L.P., Its Managing Member, By: Vade Partners, Inc., Its General Partner, By: , Name: David A. Marple, Title: General Counsel
2018-02-02