0001213900-16-012394.txt : 20160411 0001213900-16-012394.hdr.sgml : 20160411 20160411170125 ACCESSION NUMBER: 0001213900-16-012394 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160407 FILED AS OF DATE: 20160411 DATE AS OF CHANGE: 20160411 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Carbon Natural Gas Co CENTRAL INDEX KEY: 0000086264 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 260818050 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1700 BROADWAY, SUITE 1170 CITY: DENVER STATE: CO ZIP: 80290 BUSINESS PHONE: 720-407-7043 MAIL ADDRESS: STREET 1: 1700 BROADWAY, SUITE 1170 CITY: DENVER STATE: CO ZIP: 80290 FORMER COMPANY: FORMER CONFORMED NAME: ST LAWRENCE SEAWAY CORP DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STRUZESKI KEVIN D CENTRAL INDEX KEY: 0001206561 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02040 FILM NUMBER: 161565685 MAIL ADDRESS: STREET 1: C/O CARBON ENERGY CORP STREET 2: 1700 BROADWAY STE. 1150 CITY: DENVER STATE: CO ZIP: 80290 4 1 f4040716struzeski_carbonnatu.xml OWNERSHIP DOCUMENT X0306 4 2016-04-07 0 0000086264 Carbon Natural Gas Co CRBO 0001206561 STRUZESKI KEVIN D 1700 BROADWAY, SUITE 1170 DENVER CO 80290 0 1 0 0 CHIEF FINANCIAL OFFICER COMMON STOCK 2016-04-07 4 A 0 264000 0 A 1629047 D Performance Units 2016-04-07 4 M 0 264000 0 D Common Stock 180800 180800 D Reflects the acquisition of shares of Common Stock upon the satisfaction of certain performance criteria. Each remaining Performance Unit represents a contingent right to receive one share of CRBO Common Stock upon a change in control of CRBO. /s/ Kevin D. Struzeski 2016-04-11