0001104659-19-061977.txt : 20191112
0001104659-19-061977.hdr.sgml : 20191112
20191112063156
ACCESSION NUMBER: 0001104659-19-061977
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191108
FILED AS OF DATE: 20191112
DATE AS OF CHANGE: 20191112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Berthelet Remi Anthony
CENTRAL INDEX KEY: 0001792028
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34018
FILM NUMBER: 191205907
MAIL ADDRESS:
STREET 1: C/O GRAN TIERRA ENERGY INC.
STREET 2: 900, 520 - 3 AVENUE SW
CITY: CALGARY
STATE: A0
ZIP: T2P 0R3
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GRAN TIERRA ENERGY INC.
CENTRAL INDEX KEY: 0001273441
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 900, 520 3RD AVENUE S.W.
CITY: CALGARY
STATE: A0
ZIP: T2P 0R3
BUSINESS PHONE: (403) 265-3221
MAIL ADDRESS:
STREET 1: 900, 520 3RD AVENUE S.W.
CITY: CALGARY
STATE: A0
ZIP: T2P 0R3
FORMER COMPANY:
FORMER CONFORMED NAME: GRAN TIERRA ENERGY, INC.
DATE OF NAME CHANGE: 20051130
FORMER COMPANY:
FORMER CONFORMED NAME: GOLDSTRIKE INC
DATE OF NAME CHANGE: 20040113
FORMER COMPANY:
FORMER CONFORMED NAME: GOLKSTRIKE INC
DATE OF NAME CHANGE: 20031216
4
1
tm1922554-1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-11-08
0
0001273441
GRAN TIERRA ENERGY INC.
GTE
0001792028
Berthelet Remi Anthony
C/O GRAN TIERRA ENERGY INC.
900, 520 3 AVENUE SW
CALGARY
A0
T2P 0R3
ALBERTA, CANADA
0
1
0
0
Chief Operating Officer
Common Stock
2019-11-08
4
P
0
42000
1.07
A
42000
D
Stock Option (Right to Buy)
1.04
2019-11-08
4
A
0
376119
0
A
2024-11-08
Common Stock
376119
376119
D
One-third of the stock options will vest on November 8, 2020, an additional one-third of the stock options will vest on November 8, 2021 and the remaining one-third of the stock options will vest on November 8, 2022.
/s/ Diane Phillips, Attorney-In Fact
2019-11-12