0001062993-16-011684.txt : 20161011 0001062993-16-011684.hdr.sgml : 20161011 20161011135815 ACCESSION NUMBER: 0001062993-16-011684 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161011 DATE AS OF CHANGE: 20161011 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Park Place Energy Inc. CENTRAL INDEX KEY: 0001648636 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 474488552 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2200 ROSS AVE, SUITE 4500E CITY: DALLAS STATE: TX ZIP: 75201 BUSINESS PHONE: (214) 220-4340 MAIL ADDRESS: STREET 1: 2200 ROSS AVE, SUITE 4500E CITY: DALLAS STATE: TX ZIP: 75201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Larsen Scott C CENTRAL INDEX KEY: 0001437038 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55539 FILM NUMBER: 161930737 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY STREET 2: SUITE 1755 CITY: DALLAS STATE: TX ZIP: 75206 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2016-09-30 0001648636 Park Place Energy Inc. PKPL 0001437038 Larsen Scott C 2200 ROSS AVE. SUITE 4500E DALLAS TX 75201 1 1 0 0 President and CEO Common Shares 500000 D Common Shares 200000 I Larsen Energy Consulting Inc. Stock Options 0.23 2013-11-01 2016-10-31 Common Shares 400000 400000 D Warrants 0.20 2013-08-30 2016-08-29 Common Shares 500000 500000 D Stock Options 0.10 2013-05-01 2018-04-30 Common Shares 600000 600000 I Larsen Energy Consulting Inc. Restricted Stock Units Common Shares 451475 451475 D Restricted Stock Units Common Shares 187500 250000 D Restricted Stock Units 2016-09-30 4 A 0 60000 A Common Shares 60000 310000 D Each Restricted Stock Unit is a notional share of common shares of the Issuer, with a value of each Unit being equal to the Fair Market value of a share of common stock at any time. 100% of the total Restricted Stock Units shall vest on December 1, 2016 (pursuant to Amendment dated April 20, 2016) provided Mr. Larsen is still a contractor providing services to the Issuer on that date. Vesting will be accelerated if the Issuer either (a) raises an aggregate of $10 million through the sale of the Issuer's equity, or (b) becomes entitled to realize economic benefits of at least $20 million through any combination of capital raising or financing transactions. Upon the occurrence of 2(a) or (b) above, or a change of control, termination of service due to death, disability or termination of service, all unvested Restricted Stock Units shall immediately become vested. 100% of the total Restricted Stock Units shall vest on December 1, 2017 provided Mr. Larsen is still a contractor providing services to the Issuer on that date. Vesting will be accelerated if the Issuer either (a) raises an aggregate of $10 million through the sale of the Issuer's equity, or (b) becomes entitled to realize economic benefits of at least $20 million through any combination of capital raising or financing transactions. Upon the occurrence of 4(a) or (b) above, or a change of control, termination of service due to death, disability or termination of service, all unvested Restricted Stock Units shall immediately become vested. Attorney-in-Fact 2016-10-11