0001104659-12-085608.txt : 20121220 0001104659-12-085608.hdr.sgml : 20121220 20121220190329 ACCESSION NUMBER: 0001104659-12-085608 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121218 FILED AS OF DATE: 20121220 DATE AS OF CHANGE: 20121220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herlin Robert S CENTRAL INDEX KEY: 0001293397 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32942 FILM NUMBER: 121278423 MAIL ADDRESS: STREET 1: 820 GESSNER, SUITE 1340 CITY: HOUSTON STATE: TX ZIP: 77024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EVOLUTION PETROLEUM CORP CENTRAL INDEX KEY: 0001006655 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 411781991 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 2500 CITYWEST BLVD STREET 2: SUITE 1300 CITY: HOUSTON STATE: TX ZIP: 77042 BUSINESS PHONE: 713-935-0122 MAIL ADDRESS: STREET 1: 2500 CITYWEST BLVD STREET 2: SUITE 1300 CITY: HOUSTON STATE: TX ZIP: 77042 FORMER COMPANY: FORMER CONFORMED NAME: NATURAL GAS SYSTEMS INC/NEW DATE OF NAME CHANGE: 20040817 FORMER COMPANY: FORMER CONFORMED NAME: NATURAL GAS SYSTEMS, INC. DATE OF NAME CHANGE: 20040810 FORMER COMPANY: FORMER CONFORMED NAME: REALITY INTERACTIVE INC DATE OF NAME CHANGE: 19960301 4 1 a4.xml 4 X0306 4 2012-12-18 0 0001006655 EVOLUTION PETROLEUM CORP EPM 0001293397 Herlin Robert S 2500 CITY WEST BLVD., SUITE 1300 HOUSTON TX 77042 1 1 1 0 President/CEO COMMON STOCK 2012-12-18 4 S 0 35000 7.85 D 1321762 D /s/ Robert Herlin 2012-12-20