0000899243-21-003118.txt : 20210122
0000899243-21-003118.hdr.sgml : 20210122
20210122213729
ACCESSION NUMBER: 0000899243-21-003118
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191001
FILED AS OF DATE: 20210122
DATE AS OF CHANGE: 20210122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Willis Eric M.
CENTRAL INDEX KEY: 0001782521
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35512
FILM NUMBER: 21547697
MAIL ADDRESS:
STREET 1: 500 DALLAS STREET, SUITE 1700
CITY: HOUSTON
STATE: TX
ZIP: 77002
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-10-01
0
0001533924
Amplify Energy Corp.
AMPY
0001782521
Willis Eric M.
C/O AMPLIFY ENERGY CORP.
500 DALLAS STREET, SUITE 1700
HOUSTON
TX
77002
0
1
0
0
See Remarks
Common Stock, par value $0.01 per share
2019-10-01
4
M
0
2352
A
25523
D
Common Stock, par value $0.01 per share
2019-12-01
4
M
0
7058
A
32581
D
Common Stock, par value $0.01 per share
2020-10-01
4
M
0
2352
A
34933
D
Common Stock, par value $0.01 per share
2020-12-01
4
M
0
7058
A
41991
D
As previously reported on 8/6/2019 by the reporting person, these restricted stock units with service-based vesting conditions ("TSUs") were originally granted under the Legacy Amplify Management Incentive Plan (the "MIP Plan") and vest periodically so long as the reporting person remains employed by Amplify Energy Corp. or one of its affiliates on each applicable vesting date. Amount reported represents the amount of such TSUs held by the reporting person that have vested to date. The TSUs convert into common stock on a one-for-one basis.
SENIOR VICE PRESIDENT, GENERAL COUNSEL & LAND
/s/ Eric M. Willis
2021-01-22