0001437557-19-000018.txt : 20190220 0001437557-19-000018.hdr.sgml : 20190220 20190220164451 ACCESSION NUMBER: 0001437557-19-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190214 FILED AS OF DATE: 20190220 DATE AS OF CHANGE: 20190220 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: 19618889 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: 77057 BUSINESS PHONE: (210) 999-5400 MAIL ADDRESS: STREET 1: 1800 BERING DR STREET 2: SUITE NO. 510 CITY: HOUSTON STATE: TX ZIP: 77057 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_155069907616829.xml FORM 4 X0306 4 2019-02-14 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 2019-02-14 4 A 0 600000 A 1199234 D Common Stock 2019-02-14 4 F 0 49674 D 1149560 D Represents restricted stock granted by the Issuer pursuant to the 2016 Omnibus Incentive Plan. This restricted stock award vests over two years, with 34% vesting on the date of the grant, 33% vesting on the first anniversary of the date of the grant and 33% vesting on the second anniversary of the date of the grant, subject to continued service through each vesting date. This forfeiture was undertaken solely to satisfy tax withholding liabilities relating to the vesting of restricted share awards held by the Reporting Person. The Reporting Person made the withholding election on February 14, 2019 with respect to restricted shares that vested on February 14,2019. The aggregate value of the common shares so withheld was based on the closing price of the common shares on the NYSE American on the vesting date, which was $1.99. /s/ Christa Garrett, Attorney-in-Fact for Joseph C. Daches 2019-02-20