0001144204-14-003256.txt : 20140122
0001144204-14-003256.hdr.sgml : 20140122
20140122105933
ACCESSION NUMBER: 0001144204-14-003256
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121130
FILED AS OF DATE: 20140122
DATE AS OF CHANGE: 20140122
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMERICAN EAGLE ENERGY Corp
CENTRAL INDEX KEY: 0001282613
STANDARD INDUSTRIAL CLASSIFICATION: METAL MINING [1000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2120 WEST LITTLETON BLVD.,
STREET 2: SUITE 300
CITY: LITTLETON,
STATE: CO
ZIP: 80120
BUSINESS PHONE: (303) 385-1230
MAIL ADDRESS:
STREET 1: 2120 WEST LITTLETON BLVD.,
STREET 2: SUITE 300
CITY: LITTLETON,
STATE: CO
ZIP: 80120
FORMER COMPANY:
FORMER CONFORMED NAME: Eternal Energy Corp.
DATE OF NAME CHANGE: 20051118
FORMER COMPANY:
FORMER CONFORMED NAME: GOLDEN HOPE RESOURCES CORP
DATE OF NAME CHANGE: 20040303
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LANTZ THOMAS GRANT
CENTRAL INDEX KEY: 0001538089
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36205
FILM NUMBER: 14539434
MAIL ADDRESS:
STREET 1: 2549 W. MAIN STREET
STREET 2: SUITE 202
CITY: LITTLETON
STATE: CO
ZIP: 80120
4
1
v365623_4.xml
OWNERSHIP DOCUMENT
X0306
4
2012-11-30
0
0001282613
AMERICAN EAGLE ENERGY Corp
AMZG
0001538089
LANTZ THOMAS GRANT
2549 W. MAIN STREET,
SUITE 202
LITTLETON
CO
80120
0
1
0
0
Chief Operating Officer
Stock Option
2.17
2013-12-13
5
A
0
E
225000
2.17
A
2014-12-13
2018-12-13
Common Stock
225000
758247
D
Fifty percent of the 225,000 options granted on December 13, 2013, vest on December 13, 2014, and 50% of such options vest on December 13, 2015, in each event subject to Mr. Lantz's continued service as an employee of the reporting issuer through such dates.
/s/ Thomas G. Lantz
2014-01-17