0001104659-23-107503.txt : 20231006 0001104659-23-107503.hdr.sgml : 20231006 20231006161243 ACCESSION NUMBER: 0001104659-23-107503 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231005 FILED AS OF DATE: 20231006 DATE AS OF CHANGE: 20231006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klein Randal T CENTRAL INDEX KEY: 0001488028 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 231314367 MAIL ADDRESS: STREET 1: C/O AVENUE CAPITAL MANAGEMENT II, L.P. STREET 2: 535 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 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 tm2327950-1_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-10-05 0 0001533924 Amplify Energy Corp. AMPY 0001488028 Klein Randal T C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET SUITE 1700 HOUSTON TX 77002 1 0 0 0 0 Restricted Stock Units 2023-10-05 4 A 0 17824 0.00 A Common Stock 17824 17824 D Share amount reflects an aggregate number and represents 17,824 unvested restricted stock units with service-based vesting conditions ("TSUs"). These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest on July 1, 2024 so long as the reporting person remains a member of the board of directors of the Company through the vesting date. The TSUs convert into common stock on a one-for-one basis. /s/ Eric M. Willis, Attorney-in-Fact 2023-10-06