0000899243-19-021109.txt : 20190806 0000899243-19-021109.hdr.sgml : 20190806 20190806165516 ACCESSION NUMBER: 0000899243-19-021109 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190806 FILED AS OF DATE: 20190806 DATE AS OF CHANGE: 20190806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schott Polly CENTRAL INDEX KEY: 0001782513 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 191002863 MAIL ADDRESS: STREET 1: 500 DALLAS STREET, SUITE 1700 CITY: HOUSTON STATE: TX ZIP: 77002 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Energy Corp. CENTRAL INDEX KEY: 0001533924 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 453691816 STATE OF INCORPORATION: DE 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-08-06 1 0001533924 Amplify Energy Corp. AMPY 0001782513 Schott Polly C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET, SUITE 1700 HOUSTON TX 77002 0 1 0 0 See Remarks The reporting person is the Senior Vice President & Chief Administrative Officer of Amplify Energy Corp. Exhibit 24 - Power of Attorney /s/ Eric M. Willis, Attorney-in-Fact 2019-08-06 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY
                      FOR SECTION 16 REPORTING OBLIGATIONS

                                 August 6, 2019

          KNOW ALL BY THESE PRESENTS, that the undersigned hereby makes,
constitutes and appoints Eric M. Willis as the undersigned's true and lawful
attorney-in-fact, with full power and authority as hereinafter described on
behalf of and in the name, place and stead of the undersigned to:

          (i)     execute for and on behalf of the undersigned, in the
                  undersigned's capacity as a director, officer or beneficial
                  owner of shares of common stock of Amplify Energy Corp., a
                  Delaware corporation (the "Company"), any Schedule 13D or
                  Schedule 13G, and any amendments, supplements or exhibits
                  thereto (including any joint filing agreements) required to be
                  filed by the undersigned under Section 13 of the Securities
                  Exchange Act of 1934, as amended (the "Exchange Act"), and the
                  rules and regulations promulgated thereunder, and any Forms 3,
                  4 and 5 and any amendments, supplements or exhibits thereto
                  required to be filed by the undersigned under Section 16(a) of
                  the Exchange Act;

          (ii)    do and perform any and all acts for and on behalf of the
                  undersigned which may be necessary or desirable to complete
                  and execute any such Schedule 13D, Schedule 13G, Form 3, 4, or
                  5 and timely file such forms with the United States Securities
                  and Exchange Commission and any stock exchange on which the
                  common stock of the Company is then listed; and

          (iii)   take any other action of any type whatsoever in connection
                  with the foregoing which, in the opinion of such attorney - in
                  - fact, may be of benefit to, in the best interest of, or
                  legally required by, the undersigned, it being understood that
                  the documents executed by such attorney-in-fact on behalf of
                  the undersigned pursuant to this Power of Attorney shall be in
                  such form and shall contain such terms and conditions as such
                  attorney-in-fact may approve in such attorney-in-fact's
                  discretion.

          The undersigned hereby grants to such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of this Power of
Attorney and the rights and powers herein granted. The undersigned acknowledges
that the foregoing attorney- in-fact, in serving in such capacity at the request
of the undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 13 and Section 16 of the
Exchange Act.

          This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file reports or schedules under Section 13
or Section 16 of the Exchange Act with respect to the undersigned's holdings of
and transactions in securities issued by the Company, unless earlier revoked by
the undersigned in a signed writing delivered to the foregoing attorney- in-
fact.

          IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of the date first written above.


                                           /s/ Polly Schott
                                           -------------------------------------
                                           Polly Schott