0001104659-21-079570.txt : 20210610 0001104659-21-079570.hdr.sgml : 20210610 20210610180358 ACCESSION NUMBER: 0001104659-21-079570 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210609 FILED AS OF DATE: 20210610 DATE AS OF CHANGE: 20210610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KESSLER DIANA DERYCZ CENTRAL INDEX KEY: 0001281112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05507 FILM NUMBER: 211009287 MAIL ADDRESS: STREET 1: 6363 SUNSET BLVD STREET 2: 5TH FL CITY: HOLLYWOOD STATE: CA ZIP: 90028 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TELLURIAN INC. /DE/ CENTRAL INDEX KEY: 0000061398 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 060842255 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1201 LOUISIANA STREET STREET 2: SUITE 3100 CITY: HOUSTON STATE: TX ZIP: 77002 BUSINESS PHONE: 832-962-4000 MAIL ADDRESS: STREET 1: 1201 LOUISIANA STREET STREET 2: SUITE 3100 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER COMPANY: FORMER CONFORMED NAME: MAGELLAN PETROLEUM CORP /DE/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: MAGELLAN PETROLEUM CORP PANAMA DATE OF NAME CHANGE: 19671130 4 1 tm2118224-9_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-09 0 0000061398 TELLURIAN INC. /DE/ TELL 0001281112 KESSLER DIANA DERYCZ 1201 LOUISIANA STREET, SUITE 3100 HOUSTON TX 77002 1 0 0 0 Common Stock 2021-06-09 4 A 0 37593 0.00 A 243034 D Common Stock 2250000 I By Bristol Investment Fund, Ltd. Although Ms. Derycz-Kessler's spouse, Paul Kessler, has voting and investment control over the shares of Tellurian common stock held by Bristol Investment Fund, Ltd., a Cayman Islands company that is affiliated with Ms. Derycz-Kessler and her spouse ("Bristol Fund"), Ms. Derycz-Kessler may be deemed to have a pecuniary interest in the shares of Tellurian common stock held by Bristol Fund. /s/ Daniel Belhumeur under Power of Attorney by Diana Derycz-Kessler 2021-06-10