0001213900-17-003735.txt : 20170413
0001213900-17-003735.hdr.sgml : 20170413
20170413193011
ACCESSION NUMBER: 0001213900-17-003735
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: LEIDEL PETER A
CENTRAL INDEX KEY: 0001225207
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-02040
FILM NUMBER: 17761916
BUSINESS ADDRESS:
STREET 1: CORNELL COMPANIES INC
STREET 2: 1700 WEST LOOP SOUTH
CITY: HOUSTON
STATE: TX
ZIP: 77027
4
1
f4032017leidel_carbon.xml
OWNERSHIP DOCUMENT
X0306
4
2017-03-20
0
0000086264
Carbon Natural Gas Co
CRBO
0001225207
LEIDEL PETER A
410 PARK AVENUE, 19TH FLOOR
NEW YORK
NY
10022
1
0
0
0
COMMON STOCK
2017-03-20
4
A
0
4000
0
A
24000
D
COMMON STOCK
896915
I
See footnote
COMMON STOCK
896915
I
See footnote
COMMON STOCK
1111111
I
See footnote
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.
These securities are directly owned by Yorktown Energy Partners V, L.P. The reporting person is a member and a manager of the general partner of Yorktown Energy Partners V, L.P.
The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for Section 16 or for any other purpose.
These securities are directly owned by Yorktown Energy Partners VI, L.P. The reporting person is a member and a manager of the general partner of Yorktown Energy Partners VI, L.P.
These securities are directly owned by Yorktown Energy Partners IX, L.P. The reporting person is a member and a manager of the general partner of the general partner of Yorktown Energy Partners IX, L.P.
/s/ Kevin D. Struzeski, by power of attorney
2017-04-13