0000899243-16-032467.txt : 20161031
0000899243-16-032467.hdr.sgml : 20161031
20161031141103
ACCESSION NUMBER: 0000899243-16-032467
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161026
FILED AS OF DATE: 20161031
DATE AS OF CHANGE: 20161031
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Extraction Oil & Gas, Inc.
CENTRAL INDEX KEY: 0001655020
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 461473923
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 370 17TH STREET
STREET 2: SUITE 5300
CITY: DENVER
STATE: CO
ZIP: 80202
BUSINESS PHONE: (720) 557-8300
MAIL ADDRESS:
STREET 1: 370 17TH STREET
STREET 2: SUITE 5300
CITY: DENVER
STATE: CO
ZIP: 80202
FORMER COMPANY:
FORMER CONFORMED NAME: Extraction Oil & Gas, LLC
DATE OF NAME CHANGE: 20151007
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Yorktown Energy Partners X, L.P.
CENTRAL INDEX KEY: 0001577919
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37907
FILM NUMBER: 161961138
BUSINESS ADDRESS:
STREET 1: 410 PARK AVENUE
STREET 2: 19TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-515-2115
MAIL ADDRESS:
STREET 1: 410 PARK AVENUE
STREET 2: 19TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-10-26
0
0001655020
Extraction Oil & Gas, Inc.
XOG
0001577919
Yorktown Energy Partners X, L.P.
410 PARK AVENUE, 19TH FLOOR
NEW YORK
NY
10022
0
0
1
0
Common Stock
2016-10-26
4
A
0
17554262
A
17554262
D
Yorktown Energy Partners X, L.P. ("Yorktown X") previously reported indirect beneficial ownership of 108,460,231 shares of common stock of Extraction Oil & Gas, Inc. ("XOG"). These shares were owned directly by Extraction Oil & Gas Holdings, LLC ("Holdings"). Yorktown Energy Partners IX, L.P. ("Yorktown IX"), Yorktown X, Yorktown Energy Partners XI, L.P. ("Yorktown XI") and YT Extraction Co Investment Partners, LP ("YT Co Invest" and together with Yorktown IX, Yorktown X and Yorktown XI, collectively, the "Yorktown Funds") shared the right to appoint a majority of the representatives to the board of managers of Holdings. As a result, the Yorktown Funds were deemed to share the power to vote or direct the vote or to dispose or direct the disposition of the common stock owned by Holdings.
(Continued from Footnote 1) In connection with the closing of the initial public offering of XOG, 17,554,262 shares were issued to Yorktown X based on (i) Yorktown X's equity ownership in Holdings, which merged with and into XOG in connection with the closing of the offering, and (ii) the 10-day volume weighted average price of XOG's common stock following the closing of the offering.
Yorktown Energy Partners X, L.P., By: Yorktown X Company LP, its general partner, By: Yorktown X Associates LLC, its general partner, /s/ Peter A. Leidel, Manager
2016-10-31