FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/01/2015 |
3. Issuer Name and Ticker or Trading Symbol
ARABELLA EXPLORATION, INC. [ AXPLF ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Ordinary Shares | 345,928 | I | By Spouse, By Hauser Holdings, LLC(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options (right to buy) | (2) | 05/05/2019 | Ordinary Shares | 50,000 | $6.15 | D | |
Warrants (right to buy) | 12/24/2013 | 12/24/2016 | Ordinary Shares | 2,932,500 | $5 | I | By Spouse, By Hauser Holdings, LLC(1) |
Explanation of Responses: |
1. Hauser Holdings, LLC holds the reported securities. Mary Jane Hauser, the Reporting Person's spouse, has sole voting and dispositive power over all securities held by Hauser Holdings LLC. The Reporting Person may be deemed to be the indirect beneficial owner of the reported securities by virtue of his relationship with Mary Jane Hauser. The Reporting Person disclaims beneficial ownership of the reported securities to the extent such beneficial ownership exceeds his pecuniary interests therein. |
2. The options vest in equal quarterly increments over a 24-month period, beginning on March 31, 2014. |
/s/ Richard J. Hauser | 04/23/2015 | |
** 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 5 (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. |