0001213900-17-003740.txt : 20170413 0001213900-17-003740.hdr.sgml : 20170413 20170413193922 ACCESSION NUMBER: 0001213900-17-003740 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170320 FILED AS OF DATE: 20170413 DATE AS OF CHANGE: 20170413 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: Pierce Mark Duane CENTRAL INDEX KEY: 0001540715 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-02040 FILM NUMBER: 17761924 MAIL ADDRESS: STREET 1: 1700 BROADWAY, SUITE 1170 CITY: DENVER STATE: CO ZIP: 80290 4 1 f4032017pierce_carbon.xml OWNERSHIP DOCUMENT X0306 4 2017-03-20 0 0000086264 Carbon Natural Gas Co CRBO 0001540715 Pierce Mark Duane 2480 FORTUNE DRIVE, SUITE 300 LEXINGTON KY 40509 0 1 0 0 PRESIDENT COMMON STOCK 2017-03-20 4 A 0 10000 0 A 75596 D COMMON STOCK 2017-04-06 4 A 0 12500 0 A 88096 D Restricted stock grant. On March 15, 2017, Carbon Natural Gas Company (the "Issuer") effected a one for twenty reverse stock split of the Issuer's issued and outstanding common stock, as reported on the Current Report on Form 8-K filed by the Issuer with the SEC on March 16, 2017. Reflects the acquisition of shares of Common Stock upon the satisfaction of certain performance criteria. /s/ Kevin D. Struzeski, by power of attorney 2017-04-13