SEC Form 3
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*
Loos Timothy J.

(Last) (First) (Middle)
122 WEST JOHN CARPENTER FREEWAY
SUITE 300

(Street)
IRVING TX 75039

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/25/2019
3. Issuer Name and Ticker or Trading Symbol
Montage Resources Corp [ MR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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)
Common Stock 11,382(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Performance Unit (2) (2) Common Stock 1,823 (2) D
Performance Unit (3) (3) Common Stock 940 (3) D
Performance Unit (4) (4) Common Stock 4,400 (4) D
Explanation of Responses:
1. Includes (i) 5,746 shares of common stock, (ii) 609 restricted stock units granted on February 24, 2017 under the Eclipse Resources Corporation 2014 Long-Term Incentive Plan, as amended (the "2014 Plan"), which vest on February 24, 2020, (iii) 627 restricted stock units granted on February 23, 2018 under the 2014 Plan, which vest in two substantially equal installments on February 23, 2020 and February 23, 2021, and (iv) 4,400 restricted stock units granted on June 18, 2019 under the Montage Resources Corporation 2019 Long-Term Incentive Plan (the "2019 Plan"), which vest in three substantially equal installments on June 18, 2020, June 18, 2021 and June 18, 2022. Restricted stock units represent the right to receive one share of common stock per unit.
2. Represents performance units representing the right to receive one share of common stock per unit granted on February 24, 2017 under the 2014 Plan, the vesting of which is subject to the satisfaction of certain performance criteria in the period beginning January 1, 2017 and ending December 31, 2019.
3. Represents performance units representing the right to receive one share of common stock per unit granted on February 23, 2018 under the 2014 Plan, the vesting of which is subject to the satisfaction of certain performance criteria in the period beginning January 1, 2018 and ending December 31, 2020.
4. Represents performance units representing the right to receive one share of common stock per unit granted on June 18, 2019 under the 2019 Plan, the vesting of which is subject to the satisfaction of certain performance criteria in the period beginning June 13, 2019 and ending December 31, 2021.
Remarks:
Senior Vice President - Accounting and Finance Exhibit List: Exhibit 24 - Power of Attorney
/s/ Frank E. Day, Attorney-in-fact 07/03/2019
** 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.
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