0000899243-20-010152.txt : 20200403 0000899243-20-010152.hdr.sgml : 20200403 20200403171829 ACCESSION NUMBER: 0000899243-20-010152 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191030 FILED AS OF DATE: 20200403 DATE AS OF CHANGE: 20200403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schott Polly CENTRAL INDEX KEY: 0001782513 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 20774637 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: 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 2019-10-30 1 0001533924 Amplify Energy Corp. AMPY 0001782513 Schott Polly C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET, SUITE 1700 HOUSTON TX 77002 0 0 0 1 See Remarks FORMER SENIOR VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER On October 1, 2019, Ms. Polly Schott notified senior management of Amplify Energy Corp. (the "Company") of her decision to resign as the Senior Vice President, Chief Administrative Officer of the Company, effective October 30, 2019. Ms. Schott is therefore no longer subject to Section 16 of the Securities Exchange Act of 1934. /s/ Eric M. Willis, Attorney-in-Fact 2020-04-03