0001413507-16-000198.txt : 20161220 0001413507-16-000198.hdr.sgml : 20161220 20161220170218 ACCESSION NUMBER: 0001413507-16-000198 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160812 FILED AS OF DATE: 20161220 DATE AS OF CHANGE: 20161220 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY RESOURCES Corp CENTRAL INDEX KEY: 0001413507 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 202835920 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 720-616-4300 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: SYNERGY RESOURCES CORP DATE OF NAME CHANGE: 20081104 FORMER COMPANY: FORMER CONFORMED NAME: Brishlin Resources, Inc. DATE OF NAME CHANGE: 20071217 FORMER COMPANY: FORMER CONFORMED NAME: Blue Star Energy Inc DATE OF NAME CHANGE: 20070926 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eberhard Michael CENTRAL INDEX KEY: 0001678072 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35245 FILM NUMBER: 162061962 MAIL ADDRESS: STREET 1: 1625 BROADWAY STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 4 1 wf-form4_148227132562574.xml FORM 4 X0306 4 2016-08-12 0 0001413507 SYNERGY RESOURCES Corp SYRG 0001678072 Eberhard Michael 1625 BROADWAY SUITE 300 DENVER CO 80202 0 1 0 0 Chief Operating Officer-Ops Common Stock 2016-08-12 4 F 0 3151 6.84 D 90612 D To satisfy tax withholding obligation. Cathleen M. Osborn, Attorney-in-Fact 2016-12-20