0001655020-18-000063.txt : 20180507
0001655020-18-000063.hdr.sgml : 20180507
20180507191621
ACCESSION NUMBER: 0001655020-18-000063
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180503
FILED AS OF DATE: 20180507
DATE AS OF CHANGE: 20180507
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: O'Brien Patrick Dennis
CENTRAL INDEX KEY: 0001685912
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37907
FILM NUMBER: 18812584
MAIL ADDRESS:
STREET 1: 370 17TH STREET
STREET 2: SUITE 5300
CITY: DENVER
STATE: CO
ZIP: 80202
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
4
1
wf-form4_152573496777053.xml
FORM 4
X0306
4
2018-05-03
0
0001655020
Extraction Oil & Gas, Inc.
XOG
0001685912
O'Brien Patrick Dennis
370 17TH STREET
SUITE 5300
DENVER
CO
80202
1
0
0
0
COMMON STOCK
2018-05-03
4
A
0
9103
0
A
166954
D
Represents an award of 9,103 unvested restricted stock units, which vest on May 3, 2019, subject to continued service through the vesting date, and will be settled in shares of common stock.
/s/ Eric J. Christ, as Attorney-in-Fact
2018-05-07