0001104659-24-077773.txt : 20240703 0001104659-24-077773.hdr.sgml : 20240703 20240703160649 ACCESSION NUMBER: 0001104659-24-077773 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240701 FILED AS OF DATE: 20240703 DATE AS OF CHANGE: 20240703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adams Deborah G CENTRAL INDEX KEY: 0001721563 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 241100102 MAIL ADDRESS: STREET 1: FULBRIGHT TOWER STREET 2: 1301 MCKINNEY STREET, SUITE 2300 CITY: HOUSTON STATE: TX ZIP: 77010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Energy Corp. CENTRAL INDEX KEY: 0001533924 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] ORGANIZATION NAME: 01 Energy & Transportation 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 tm2418697-3_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-07-01 0 0001533924 Amplify Energy Corp. AMPY 0001721563 Adams Deborah G C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET SUITE 1700 HOUSTON TX 77002 1 0 0 0 0 Common Stock, par value $0.01 per share 2024-07-01 4 M 0 19077 A 51961 D Restricted Stock Units 2024-07-01 4 M 0 19077 0.00 D Common Stock 19077 0 D Restricted Stock Units 2024-07-01 4 A 0 19665 0.00 A Common Stock 19665 19665 D Reflects shares of common stock, par value $0.01 per share of Amplify Energy Corp. (the "Company") granted upon settlement of previously awarded restricted stock units with service-based vesting conditions ("TSUs"). These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan, vesting on the first anniversary of the date of grant so long as the reporting person remained a member of the board of directors of the Company through the vesting date. Share amount reflects an aggregate number and represents 19,665 unvested TSUs. These TSUs were granted under the Amplify Energy Corp. 2024 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 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 2024-07-03