0001104659-23-107503.txt : 20231006
0001104659-23-107503.hdr.sgml : 20231006
20231006161243
ACCESSION NUMBER: 0001104659-23-107503
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231005
FILED AS OF DATE: 20231006
DATE AS OF CHANGE: 20231006
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Klein Randal T
CENTRAL INDEX KEY: 0001488028
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35512
FILM NUMBER: 231314367
MAIL ADDRESS:
STREET 1: C/O AVENUE CAPITAL MANAGEMENT II, L.P.
STREET 2: 535 MADISON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amplify Energy Corp.
CENTRAL INDEX KEY: 0001533924
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 821326219
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 DALLAS STREET
STREET 2: SUITE 1700
CITY: HOUSTON
STATE: TX
ZIP: 77002
BUSINESS PHONE: 713-588-8369
MAIL ADDRESS:
STREET 1: 500 DALLAS STREET
STREET 2: SUITE 1700
CITY: HOUSTON
STATE: TX
ZIP: 77002
FORMER COMPANY:
FORMER CONFORMED NAME: Midstates Petroleum Company, Inc.
DATE OF NAME CHANGE: 20111031
4
1
tm2327950-1_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-10-05
0
0001533924
Amplify Energy Corp.
AMPY
0001488028
Klein Randal T
C/O AMPLIFY ENERGY CORP.
500 DALLAS STREET SUITE 1700
HOUSTON
TX
77002
1
0
0
0
0
Restricted Stock Units
2023-10-05
4
A
0
17824
0.00
A
Common Stock
17824
17824
D
Share amount reflects an aggregate number and represents 17,824 unvested restricted stock units with service-based vesting conditions ("TSUs"). These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest on July 1, 2024 so long as the reporting person remains a member of the board of directors of the Company through the vesting date. The TSUs convert into common stock on a one-for-one basis.
/s/ Eric M. Willis, Attorney-in-Fact
2023-10-06