0001104659-21-122737.txt : 20211005
0001104659-21-122737.hdr.sgml : 20211005
20211005061219
ACCESSION NUMBER: 0001104659-21-122737
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211001
FILED AS OF DATE: 20211005
DATE AS OF CHANGE: 20211005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Royal Ronald
CENTRAL INDEX KEY: 0001642113
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34018
FILM NUMBER: 211305107
MAIL ADDRESS:
STREET 1: C/O GRAN TIERRA ENERGY INC.
STREET 2: 200, 150 13 AVENUE SW
CITY: CALGARY
STATE: A0
ZIP: T2R 0V2
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GRAN TIERRA ENERGY INC.
CENTRAL INDEX KEY: 0001273441
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 900, 520 3RD AVENUE S.W.
CITY: CALGARY
STATE: A0
ZIP: T2P 0R3
BUSINESS PHONE: (403) 265-3221
MAIL ADDRESS:
STREET 1: 900, 520 3RD AVENUE S.W.
CITY: CALGARY
STATE: A0
ZIP: T2P 0R3
FORMER COMPANY:
FORMER CONFORMED NAME: GRAN TIERRA ENERGY, INC.
DATE OF NAME CHANGE: 20051130
FORMER COMPANY:
FORMER CONFORMED NAME: GOLDSTRIKE INC
DATE OF NAME CHANGE: 20040113
FORMER COMPANY:
FORMER CONFORMED NAME: GOLKSTRIKE INC
DATE OF NAME CHANGE: 20031216
4
1
tm2129246-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-10-01
0
0001273441
GRAN TIERRA ENERGY INC.
GTE
0001642113
Royal Ronald
C/O GRAN TIERRA ENERGY INC.
900, 520 3 AVENUE SW
CALGARY
A0
T2P 0R3
ALBERTA, CANADA
1
0
0
0
Deferred Stock Units
2021-10-01
4
A
0
55436
0
A
Common Stock
55436
965286
D
Stock Option (Right to Buy)
0.76
2021-10-01
4
A
0
13824
0
A
2021-10-01
2026-10-01
Common Stock
13824
13824
D
Deferred stock units convert into common stock on a one-for-one basis.
Each deferred stock unit represents a contingent right to receive one share of Gran Tierra Energy Inc. common stock. The deferred stock units vest in full at such time as the reporting person ceases to be a member of the Board of Directors of the Issuer.
/s/ Diane Phillips, Attorney-In Fact
2021-10-05