0000903423-18-000421.txt : 20180802
0000903423-18-000421.hdr.sgml : 20180802
20180802165837
ACCESSION NUMBER: 0000903423-18-000421
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180731
FILED AS OF DATE: 20180802
DATE AS OF CHANGE: 20180802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MacDougall Michael G.
CENTRAL INDEX KEY: 0001429772
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38083
FILM NUMBER: 18989142
MAIL ADDRESS:
STREET 1: 301 COMMERCE STREET
STREET 2: SUITE 3300
CITY: FORT WORTH
STATE: TX
ZIP: 76102
FORMER NAME:
FORMER CONFORMED NAME: MacDougall Michael G
DATE OF NAME CHANGE: 20080313
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Magnolia Oil & Gas Corp
CENTRAL INDEX KEY: 0001698990
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 815365682
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1001 FANNIN STREET
STREET 2: SUITE 400
CITY: HOUSTON
STATE: TX
ZIP: 77002
BUSINESS PHONE: 713-842-9050
MAIL ADDRESS:
STREET 1: 1001 FANNIN STREET
STREET 2: SUITE 400
CITY: HOUSTON
STATE: TX
ZIP: 77002
FORMER COMPANY:
FORMER CONFORMED NAME: Magnolia Oil & Gas
DATE OF NAME CHANGE: 20180801
FORMER COMPANY:
FORMER CONFORMED NAME: TPG Pace Energy Holdings Corp.
DATE OF NAME CHANGE: 20170224
4
1
macdougall.xml
OWNERSHIP DOCUMENT
X0306
4
2018-07-31
0
0001698990
Magnolia Oil & Gas Corp
MGY
0001429772
MacDougall Michael G.
C/O TPG GLOBAL, LLC
301 COMMERCE STREET, SUITE 3300
FORT WORTH
TX
76102
1
0
0
0
Class A Common Stock
2018-07-31
4
A
0
97500
10.00
A
97500
I
See Explanation of Responses
Michael MacDougall is a TPG Partner. TPG is affiliated with TPG Pace Energy Sponsor, LLC, which directly holds an aggregate of 16,090,000 shares of Class A Common Stock, par value $0.0001 per share, of Magnolia Oil & Gas Corporation (the "Issuer").
Mr. MacDougall disclaims beneficial ownership of all of the securities that are or may be beneficially owned by TPG Pace Energy Sponsor, LLC or any of its affiliates. Pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), this filing shall not be deemed an admission that Mr. MacDougall is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owner of any equity securities of the Issuer for purposes of Section 16 of the Exchange Act or otherwise.
Held through a personal vehicle.
(4) Michael LaGatta is signing on behalf of Mr. MacDougall pursuant to the authorization and designation letter dated April 28, 2017, which was previously filed with the Securities and Exchange Commission.
/s/ Michael LaGatta on behalf of Michael MacDougall (4)
2018-08-02