0001493152-17-000130.txt : 20170104 0001493152-17-000130.hdr.sgml : 20170104 20170104173145 ACCESSION NUMBER: 0001493152-17-000130 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 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: 17507201 MAIL ADDRESS: STREET 1: 5910 N. CENTRAL EXPRESSWAY STREET 2: SUITE 1755 CITY: DALLAS STATE: TX ZIP: 75206 4 1 form4.xml X0306 4 2016-12-31 0 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. Warrants 0.20 2013-08-27 2017-08-27 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 [2014] Common Shares 203571 203571 D Restricted Stock Units [2015] Common Shares 451475 451475 D Restricted Stock Units [2016] Common Shares 310000 310000 D Restricted Stock Units [2016] 2016-12-31 4 A 0 53571 A Common Shares 53571 363571 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 April 30, 2017 (pursuant to Amendment dated November 23, 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. The expiration date of the warrants was extended to August 23, 2017 pursuant to Amendment dated August 3, 2016. /s/ Fran Munchinski (Attorney in Fact for Scott C. Larsen) 2017-01-04