0000899243-18-021051.txt : 20180801
0000899243-18-021051.hdr.sgml : 20180801
20180801203433
ACCESSION NUMBER: 0000899243-18-021051
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180731
FILED AS OF DATE: 20180801
DATE AS OF CHANGE: 20180801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Leat Chad A
CENTRAL INDEX KEY: 0001455414
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38083
FILM NUMBER: 18986331
MAIL ADDRESS:
STREET 1: C/O UNITED AMERICA INDEMNITY GROUP INC.
STREET 2: 3 BALA PLAZA EAST, SUITE 300
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-07-31
1
0001698990
Magnolia Oil & Gas Corp
MGY
0001455414
Leat Chad A
C/O MAGNOLIA OIL & GAS CORPORATION
1001 FANNIN STREET, SUITE 400
HOUSTON
TX
77002
1
0
0
0
Class A Common Stock, par value $0.0001 per share
2018-07-31
4
C
0
40000
A
40000
D
Class F Common Stock, par value $0.0001 per share
2018-07-31
4
C
0
40000
D
Class A Common Stock
40000
0
D
On July 31, 2018 upon the closing of the initial business combination (the "Business Combination") of TPG Pace Energy Holdings Corp. (the "Issuer"), the shares of Class F common stock, par value $0.0001 per share (the "Class F Shares"), of the Issuer held by the Reporting Person automatically converted into an equal number of shares of Class A common stock, par value $0.0001 per share (the "Class A Shares"), of the Issuer. Pursuant to the Amended and Restated Certificate of Incorporation of the Issuer, the Class F Shares had been convertible into Class A Shares on a one-for-one basis, subject to adjustment, at any time at the option of the holder thereof. In connection with the Business Combination, the Issuer changed its name to Magnolia Oil & Gas Corporation.
(2) Eduardo Tamraz is signing on behalf of Mr. Leat pursuant to the authorization and designation letter dated May 4, 2017, which was previously filed with the Securities and Exchange Commission.
/s/s Eduardo Tamraz, as Attorney-in-Fact
2018-08-01