0000899243-21-027589.txt : 20210706
0000899243-21-027589.hdr.sgml : 20210706
20210706173652
ACCESSION NUMBER: 0000899243-21-027589
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210701
FILED AS OF DATE: 20210706
DATE AS OF CHANGE: 20210706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lederman Evan S.
CENTRAL INDEX KEY: 0001733544
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35512
FILM NUMBER: 211075295
MAIL ADDRESS:
STREET 1: C/O FIR TREE PARTNERS
STREET 2: 55 WEST 46TH STREET, 29TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
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
2021-07-01
0
0001533924
Amplify Energy Corp.
AMPY
0001733544
Lederman Evan S.
C/O AMPLIFY ENERGY CORP.
500 DALLAS STREET SUITE 1700
HOUSTON
TX
77002
1
0
0
0
Common Stock, par value $0.01 per share
2021-07-01
4
A
0
30329
A
30329
D
Share amount reflects an aggregate number and represents 30,329 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 the first anniversary of the date of grant so long as the reporting person remains a member of the board of directors of Amplify Energy Corp. through the vesting date. The TSUs convert into common stock on a one-for-one basis.
/s/ Eric M. Willis, Attorney-in-Fact
2021-07-06