0000899243-21-003117.txt : 20210122 0000899243-21-003117.hdr.sgml : 20210122 20210122213714 ACCESSION NUMBER: 0000899243-21-003117 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200801 FILED AS OF DATE: 20210122 DATE AS OF CHANGE: 20210122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DuBard Denise CENTRAL INDEX KEY: 0001353117 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 21547696 MAIL ADDRESS: STREET 1: 717 TEXAS SUITE 2800 CITY: HOUSTON STATE: TX ZIP: 77002 FORMER NAME: FORMER CONFORMED NAME: Bednorz Denise DuBard DATE OF NAME CHANGE: 20060213 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 2020-08-01 0 0001533924 Amplify Energy Corp. AMPY 0001353117 DuBard Denise C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET, SUITE 1700 HOUSTON TX 77002 0 1 0 0 SEE REMARKS Common Stock, par value $0.01 per share 2020-08-01 4 M 0 2941 A 13284 D As previously reported on 8/6/2019 by the reporting person, these restricted stock units with service-based vesting conditions ("TSUs") were originally granted under the Legacy Amplify Management Incentive Plan (the "MIP Plan") and vest periodically so long as the reporting person remains employed by Amplify Energy Corp. or one of its affiliates on each applicable vesting date. Amount reported represents the amount of such TSUs held by the reporting person that have vested to date. The TSUs convert into common stock on a one-for-one basis. VICE PRESIDENT & CHIEF ACCOUNTING OFFICER /s/ Eric M. Willis, Attorney-in-Fact 2021-01-22