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