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