0001144204-12-059552.txt : 20121105 0001144204-12-059552.hdr.sgml : 20121105 20121105191812 ACCESSION NUMBER: 0001144204-12-059552 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121024 FILED AS OF DATE: 20121105 DATE AS OF CHANGE: 20121105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Samuels Jonathan Ryan CENTRAL INDEX KEY: 0001477911 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34945 FILM NUMBER: 121181440 MAIL ADDRESS: STREET 1: 228 MONACO DRIVE CITY: REDWOOD SHORES STATE: X1 ZIP: 94065 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Triangle Petroleum Corp CENTRAL INDEX KEY: 0001281922 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 980430762 STATE OF INCORPORATION: NV FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 1200 17TH STREET STREET 2: SUITE 2600 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-260-7125 MAIL ADDRESS: STREET 1: 1200 17TH STREET STREET 2: SUITE 2600 CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: Triangle Petroleum CORP DATE OF NAME CHANGE: 20050525 FORMER COMPANY: FORMER CONFORMED NAME: PELOTON RESOURCES INC DATE OF NAME CHANGE: 20040226 4/A 1 v327414_4a.xml AMENDMENT NO. 1 X0306 4/A 2012-10-24 2012-10-26 0 0001281922 Triangle Petroleum Corp TPLM 0001477911 Samuels Jonathan Ryan 1200 17TH STREET, SUITE 2600 DENVER CO 80202 1 1 0 0 President and CEO Common Stock 2012-10-24 4 S 0 80000 6.41 D 192177 D Stock Options Right to Buy 1.25 2010-11-30 2014-11-30 Common Stock 63333 63333 D Restricted Stock Units 0 Common Stock 451818 451818 D The sales reported in this Form 4 were made pursuant to the terms of a Rule 10b5-1 Trading Plan. This transaction was executed in multiple trades at prices ranging from $6.31 to $6.62. The price reported in Table I reflects the weighted average purchase price of such trades. The reporting person hereby undertakes to provide to the SEC staff, the issuer or a security holder of the issuer, upon request, full information regarding the number of shares and prices at which each transaction was effected. No new transaction is reported hereby. The stock options were previously reported on Form 3. In November 2010, the issuer effected a 1-for-10 reverse stock split and the number of options held by the reporting person was reduced from 950,000 to 95,000. The information with regard to the stock options is repeated in this Form 4 for informational purposes only. 31,667 of these options are vested. The remaining 31,666 unvested options are scheduled to vest on November 29, 2012. No new transaction is reported hereby. The Restricted Stock Units were previously reported on Form 4, and each Restricted Stock Unit represents a contingent right to receive one share of the issuer's common stock upon vesting. The information with regard to the Restricted Stock Units is reported in this Form 4 for informational purposes only. Upon vesting, the Restricted Stock Units will automatically be exchanged for an equal number of shares of the issuer's common stock. This amended Form 4 is being filed to correct the number of shares of common stock owned following the reported transaction. The amount previously reported mistakenly included shares underlying vested but unexercised options. /s/ Jonathan R. Samuels 2012-11-05