0000899243-21-007608.txt : 20210222 0000899243-21-007608.hdr.sgml : 20210222 20210222184649 ACCESSION NUMBER: 0000899243-21-007608 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210219 FILED AS OF DATE: 20210222 DATE AS OF CHANGE: 20210222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lopez Anthony William CENTRAL INDEX KEY: 0001808753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 21662166 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 2021-02-19 0 0001533924 Amplify Energy Corp. AMPY 0001808753 Lopez Anthony William 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 2021-02-19 4 A 0 23779 A 42540 D Share amount reflects that portion of the reporting person's 2020 annual incentive bonus paid to such reporting person pursuant to Amplify Energy Corp.'s ("Amplify") annual incentive bonus program. The earned annual incentive bonus payable to the reporting person was paid 35% in cash and 65% in fully vested shares of Amplify common stock, par value $0.01 per share ("Common Stock"), calculated based on the three-day volume weighted average price of a share of Amplify Common Stock for the three consecutive trading days ending February 5, 2021. SVP, ENGINEERING & EXPLOITATION /s/ Eric M. Willis, Attorney-in-Fact 2021-02-22