SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
KAUFMAN SCOTT D

(Last) (First) (Middle)
C/O CREEK ROAD MINERS, INC.
2700 HOMESTEAD ROAD, SUITE 50

(Street)
PARK CITY UT 84098

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Creek Road Miners, Inc. [ CRKR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO and President
3. Date of Earliest Transaction (Month/Day/Year)
03/30/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/31/2022 S 7,000 D $2.7119 1,202,523 D
Common Stock 03/31/2022 S 11,000 D $2.6333 1,202,523 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock $0 03/30/2022 M 6,249 09/30/2021 (1) Common Stock 357,085 (1) 6,250 D
Convertible Debenture $0.175 03/30/2022 C $1,925 12/19/2019 12/31/2022 Common Stock 11,000 (2) $2,496,850 I See Footnote 3.(3)
Convertible Debenture $0.175 03/31/2022 C $1,225 12/19/2019 12/31/2022 Common Stock 7,000 (2) $2,496,850 I See Footnote 3.(3)
Series A Preferred Stock (1) 12/31/2021 (1) Common Stock 357,142 6,250 D
Options $2.65 12/01/2021 (4) Common Stock 2,625,000 2,625,000 D
Options $0.25 08/03/2020 08/03/2025 Common Stock 37,500 37,500 D
Convertible Debenture $0.175 12/19/2019 12/31/2022 Common Stock 14,267,714 $2,496,850 I See Footnote 3.(3)
Warrant $0.175 12/19/2019 12/01/2024 Common Stock 4,285,174 4,285,174 I See Footnote 3.(3)
Explanation of Responses:
1. Each share of Series A Preferred Stock (the "Preferred Stock") is convertible into a number of shares of common stock determined by dividing the stated value of each share of Preferred Stock (currently $10) by the conversion price then in effect (currently $0.175). The Preferred Stock does not expire.
2. The dollar face amount of the Debenture is convertible into shares of common stock at the conversion price then in effect (currently $0.175).
3. Securities held by Barlock 2019 Fund, LP, an entity over which Scott Kaufman has managerial control.
4. Options granted pursuant to incentive and award plans. 25% of the options vest when the common share VWAP computed over 30 trading days reaches $2.50, $3.00, $3.50 and $4.00.
/s/ Scott D. Kaufman 04/01/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.