0001437557-18-000048.txt : 20181009 0001437557-18-000048.hdr.sgml : 20181009 20181009170115 ACCESSION NUMBER: 0001437557-18-000048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181005 FILED AS OF DATE: 20181009 DATE AS OF CHANGE: 20181009 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Daches Joseph C CENTRAL INDEX KEY: 0001561840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35330 FILM NUMBER: 181114262 MAIL ADDRESS: STREET 1: TWO CITY PLACE, SUITE 1700 STREET 2: 100 THROCKMORTON CITY: FORT WORTH STATE: TX ZIP: 76102 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: 1800 BERING DR STREET 2: SUITE NO. 510 CITY: HOUSTON STATE: TX ZIP: 78258 BUSINESS PHONE: (210) 999-5400 MAIL ADDRESS: STREET 1: 1800 BERING DR STREET 2: SUITE NO. 510 CITY: HOUSTON 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 wf-form4_153911885884898.xml FORM 4 X0306 4 2018-10-05 0 0001437557 LILIS ENERGY, INC. LLEX 0001561840 Daches Joseph C 201 MAIN STREET, SUITE 1351 FORT WORTH TX 76102 0 1 0 0 President & CFO Common Stock 2018-10-05 4 F 0 51942 4.69 D 574234 D These shares were withheld upon the vesting of restricted stock to enable the reporting person to satisfy tax withholding obligations that arose upon such vesting, which will be paid by the issuer to the appropriate taxing authority in cash. /s/Mark Jones, Attorney-In-Fact for Joseph Daches 2018-10-08