0001104659-19-044650.txt : 20190807 0001104659-19-044650.hdr.sgml : 20190807 20190807212743 ACCESSION NUMBER: 0001104659-19-044650 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190806 FILED AS OF DATE: 20190807 DATE AS OF CHANGE: 20190807 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carr Alan Jeffrey CENTRAL INDEX KEY: 0001623467 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 191007252 MAIL ADDRESS: STREET 1: 8540 GANDER CREEK DRIVE CITY: MIAMISBURG STATE: OH ZIP: 45342 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Energy Corp. CENTRAL INDEX KEY: 0001533924 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 821326219 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 BUSINESS PHONE: 713-588-8369 MAIL ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER COMPANY: FORMER CONFORMED NAME: Midstates Petroleum Company, Inc. DATE OF NAME CHANGE: 20111031 4 1 a4.xml 4 X0306 4 2019-08-06 1 0001533924 Amplify Energy Corp. AMPY 0001623467 Carr Alan Jeffrey 321 SOUTH BOSTON, SUITE 1000 TULSA OK 74103 1 0 0 0 Common Stock 2019-08-06 4 M 0 12716 0 A 12816 D Common Stock 2019-08-06 4 M 0 52491 0 A 65307 D Common Stock 2019-08-06 4 D 0 14013 10.00 D 51294 D Performance Stock Units 2019-08-06 4 M 0 12716 0 D Common Stock 12716 0 D Restricted Stock Units 2019-08-06 4 M 0 52491 0 D Common Stock 52491 0 D Represents shares sold to the Issuer in connection with the previously announced Issuer tender offer. Each performance stock unit represents a contingent right to receive one share of common stock of the Issuer. Each restricted stock unit represents a contingent right to receive one share of common stock of the Issuer. Pursuant to that certain Agreement and Plan of Merger, dated as of May 5, 2019, by and among the Issuer (formerly known as Midstates Petroleum Company, Inc.), Amplify Energy Corp. ("Legacy Amplify") and Midstates Holdings, Inc., a direct wholly owned subsidiary of the Issuer ("Merger Sub"), on August 6, 2019, Merger Sub merged with and into Legacy Amplify, with Legacy Amplify surviving the merger as a wholly owned subsidiary of the Issuer, and immediately thereafter, as part of the same transaction, Legacy Amplify merged with and into a wholly owned subsidiary of the Issuer, with such subsidiary continuing as the surviving entity (the "Merger"). At the closing of the Merger, each outstanding restricted stock unit and performance stock unit award held by the Reporting Person immediately became fully vested and was settled in shares of the Issuer's common stock. /s/ Alan Jeffrey Carr, by Scott C. Weatherholt, as Attorney-in-Fact 2019-08-07