0001354488-16-008487.txt : 20161107
0001354488-16-008487.hdr.sgml : 20161107
20161107162508
ACCESSION NUMBER: 0001354488-16-008487
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161026
FILED AS OF DATE: 20161107
DATE AS OF CHANGE: 20161107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Yuma Energy, Inc.
CENTRAL INDEX KEY: 0001672326
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 812235304
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1177 WEST LOOP SOUTH
STREET 2: SUITE 1825
CITY: HOUSTON
STATE: TX
ZIP: 77027
BUSINESS PHONE: 713-968-7000
MAIL ADDRESS:
STREET 1: 1177 WEST LOOP SOUTH
STREET 2: SUITE 1825
CITY: HOUSTON
STATE: TX
ZIP: 77027
FORMER COMPANY:
FORMER CONFORMED NAME: Yuma Delaware Merger Subsidiary, Inc.
DATE OF NAME CHANGE: 20160415
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Banks Sam L.
CENTRAL INDEX KEY: 0001618779
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37932
FILM NUMBER: 161978424
MAIL ADDRESS:
STREET 1: 1177 WEST LOOP SOUTH
STREET 2: SUITE 1825
CITY: HOUSTON
STATE: TX
ZIP: 77027
3
1
issuerdirect_section16.xml
PRIMARY DOCUMENT
X0206
3
2016-10-26
0
0001672326
Yuma Energy, Inc.
YUMA
0001618779
Banks Sam L.
1177 WEST LOOP SOUTH
SUITE 1825
HOUSTON
TX
77027
1
1
1
President and CEO
Common Stock
2102138
D
Stock Appreciation Rights
12.1
2018-08-22
Common Stock
28530
D
Reflects the undersigned?s beneficial ownership of shares of common stock of the Issuer after the reincorporation of Yuma Energy, Inc., a California corporation, to Delaware and the 1-for-20 reverse stock split.
Includes shares from restricted stock awards after accounting for the reincorporation and the 1-for-20 reverse stock split that vest as to 1,893 shares on January 1, 2017, 11,614 shares on May 31, 2017, and 11,613 shares on May 31, 2018.
The stock appreciation right award reflects the reincorporation and the 1-for-20 reverse stock split, and vested as to 9,510 SARs on May 31, 2016, and vests as to 9,510 SARs on May 31, 2017 and as to 9,510 SARs on May 31, 2018.
Reflects accounting for reincorporation and 1-for-20 reverse stock split.
/s/ Sam L. Banks
2016-11-07