0001209191-18-006827.txt : 20180202 0001209191-18-006827.hdr.sgml : 20180202 20180202161408 ACCESSION NUMBER: 0001209191-18-006827 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180202 DATE AS OF CHANGE: 20180202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SINGLETON RAY J JR CENTRAL INDEX KEY: 0001094121 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35049 FILM NUMBER: 18570808 MAIL ADDRESS: STREET 1: 9400 E ILIFF AVENUE #191 CITY: DENVER STATE: CO ZIP: 80231 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EARTHSTONE ENERGY INC CENTRAL INDEX KEY: 0000010254 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 840592823 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1400 WOODLOCH FOREST DRIVE STREET 2: SUITE 300 CITY: THE WOODLANDS STATE: TX ZIP: 77380 BUSINESS PHONE: 281-298-4246 MAIL ADDRESS: STREET 1: 1400 WOODLOCH FOREST DRIVE STREET 2: SUITE 300 CITY: THE WOODLANDS STATE: TX ZIP: 77380 FORMER COMPANY: FORMER CONFORMED NAME: BASIC EARTH SCIENCE SYSTEMS INC DATE OF NAME CHANGE: 19920703 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2017-12-31 0 0 1 0000010254 EARTHSTONE ENERGY INC ESTE 0001094121 SINGLETON RAY J JR 633 17TH STREET SUITE 2320 DENVER CO 80202 1 1 0 0 EVP Class A Common Stock 2017-10-02 4 F 0 L 3478 10.99 D 524024 D Shares of Class A common stock withheld by the Registrant to cover tax withholding obligations of the reporting person arising from the settlement of a restricted stock unit award on October 2, 2017 granted under the Earthstone Energy, Inc. 2014 Long-Term Incentive Plan. /s/ Ray Singleton 2018-02-02