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