0001104659-12-085074.txt : 20121219
0001104659-12-085074.hdr.sgml : 20121219
20121219060120
ACCESSION NUMBER: 0001104659-12-085074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121217
FILED AS OF DATE: 20121219
DATE AS OF CHANGE: 20121219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mazzanti Daryl V
CENTRAL INDEX KEY: 0001332799
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32942
FILM NUMBER: 121273041
MAIL ADDRESS:
STREET 1: 10600 NORTH DE ANZA BLVD., SUITE 250
CITY: CUPERTINO
STATE: CA
ZIP: 95014
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EVOLUTION PETROLEUM CORP
CENTRAL INDEX KEY: 0001006655
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 411781991
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 2500 CITYWEST BLVD
STREET 2: SUITE 1300
CITY: HOUSTON
STATE: TX
ZIP: 77042
BUSINESS PHONE: 713-935-0122
MAIL ADDRESS:
STREET 1: 2500 CITYWEST BLVD
STREET 2: SUITE 1300
CITY: HOUSTON
STATE: TX
ZIP: 77042
FORMER COMPANY:
FORMER CONFORMED NAME: NATURAL GAS SYSTEMS INC/NEW
DATE OF NAME CHANGE: 20040817
FORMER COMPANY:
FORMER CONFORMED NAME: NATURAL GAS SYSTEMS, INC.
DATE OF NAME CHANGE: 20040810
FORMER COMPANY:
FORMER CONFORMED NAME: REALITY INTERACTIVE INC
DATE OF NAME CHANGE: 19960301
4
1
a4.xml
4
X0306
4
2012-12-17
0
0001006655
EVOLUTION PETROLEUM CORP
EPM
0001332799
Mazzanti Daryl V
2500 CITY WEST BLVD.
SUITE 1300
HOUSTON
TX
77042
0
1
0
0
VP Operations
COMMON STOCK
2012-12-17
4
P
0
2800
7.80
A
191983
D
/s/ Daryl Mazzanti
2012-12-18