0001437749-22-021857.txt : 20220906 0001437749-22-021857.hdr.sgml : 20220906 20220906073950 ACCESSION NUMBER: 0001437749-22-021857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220902 FILED AS OF DATE: 20220906 DATE AS OF CHANGE: 20220906 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hollis Michael L. CENTRAL INDEX KEY: 0001559864 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39464 FILM NUMBER: 221226865 MAIL ADDRESS: STREET 1: 500 WEST TEXAS STREET 2: SUITE 1225 CITY: MIDLAND STATE: TX ZIP: 79701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HighPeak Energy, Inc. CENTRAL INDEX KEY: 0001792849 STANDARD INDUSTRIAL CLASSIFICATION: DRILLING OIL & GAS WELLS [1381] IRS NUMBER: 843533602 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 421 W. 3RD STREET STREET 2: SUITE 1000 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: (817) 850-9200 MAIL ADDRESS: STREET 1: 421 W. 3RD STREET STREET 2: SUITE 1000 CITY: FORT WORTH STATE: TX ZIP: 76102 4 1 rdgdoc.xml FORM 4 X0306 4 2022-09-02 0001792849 HighPeak Energy, Inc. HPK 0001559864 Hollis Michael L. 421 W. 3RD STREET, SUITE 1000 FORT WORTH TX 76102 1 1 1 President Common Stock, par value $0.0001 per share 2022-09-02 4 A 0 16197 21.61 A 233533 D On September 2, 2022, the Reporting Person purchased shares of HighPeak Energy, Inc.'s (the "Issuer") common stock, par value $0.0001 per share ("Common Stock"), pursuant to a subscription agreement by and between the Reporting Person and the Issuer, as part of a private placement. The issuance of the shares to the Reporting Person was approved by the Issuer's board of directors in the manner contemplated by Rule 16b-3 under the Securities Exchange Act of 1934, as amended. /s/ Steven W. Tholen as Attorney in Fact for Michael L. Hollis 2022-09-06