0000899243-21-014786.txt : 20210405 0000899243-21-014786.hdr.sgml : 20210405 20210405160514 ACCESSION NUMBER: 0000899243-21-014786 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210401 FILED AS OF DATE: 20210405 DATE AS OF CHANGE: 20210405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DuBard Denise CENTRAL INDEX KEY: 0001353117 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 21805338 MAIL ADDRESS: STREET 1: 717 TEXAS SUITE 2800 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER NAME: FORMER CONFORMED NAME: Bednorz Denise DuBard DATE OF NAME CHANGE: 20060213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Energy Corp. CENTRAL INDEX KEY: 0001533924 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 821326219 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 BUSINESS PHONE: 713-588-8369 MAIL ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER COMPANY: FORMER CONFORMED NAME: Midstates Petroleum Company, Inc. DATE OF NAME CHANGE: 20111031 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-04-01 0 0001533924 Amplify Energy Corp. AMPY 0001353117 DuBard Denise C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET, SUITE 1700 HOUSTON TX 77002 0 1 0 0 See Remarks Common Stock, par value $0.01 per share 2021-04-01 4 A 0 34091 A 49334 D Share amount reflects 34,091 unvested restricted stock units with service-based vesting conditions ("TSUs"). These TSUs were granted under the Amplify Management Incentive Plan and vest periodically so long as the reporting person remains employed by Amplify Energy Corp. or one of its affiliates on each applicable vesting date. The TSUs convert into common stock on a one-for-one basis. VICE PRESIDENT & CHIEF ACCOUNTING OFFICER /s/ Eric M. Willis, Attorney-in-Fact 2021-04-05