0001104659-23-106921.txt : 20231004 0001104659-23-106921.hdr.sgml : 20231004 20231004191619 ACCESSION NUMBER: 0001104659-23-106921 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231001 FILED AS OF DATE: 20231004 DATE AS OF CHANGE: 20231004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hazell Evan CENTRAL INDEX KEY: 0001646362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34018 FILM NUMBER: 231309365 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: 500 CENTRE STREET SE CITY: CALGARY STATE: A0 ZIP: T2G 1A6 BUSINESS PHONE: (403) 265-3221 MAIL ADDRESS: STREET 1: 500 CENTRE STREET SE CITY: CALGARY STATE: A0 ZIP: T2G 1A6 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 tm2327766-1_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-10-01 0 0001273441 GRAN TIERRA ENERGY INC. GTE 0001646362 Hazell Evan C/O GRAN TIERRA ENERGY INC. 500 CENTRE STREET S.E. CALGARY A0 T2G 1A6 ALBERTA, CANADA 1 0 0 0 0 Deferred Stock Units 2023-10-01 4 A 0 5077 0 A Common Stock 5077 110687 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/ Phillip Abraham, Attorney-In Fact 2023-10-04