0000899243-21-003119.txt : 20210122 0000899243-21-003119.hdr.sgml : 20210122 20210122213749 ACCESSION NUMBER: 0000899243-21-003119 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200401 FILED AS OF DATE: 20210122 DATE AS OF CHANGE: 20210122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lopez Anthony William CENTRAL INDEX KEY: 0001808753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 21547698 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 2020-04-01 0 0001533924 Amplify Energy Corp. AMPY 0001808753 Lopez Anthony William 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 2020-07-01 4 M 0 6178 A 18761 D Restricted Stock Units 2020-04-01 4 A 0 15550 0.00 A Common Stock 15550 15550 D Restricted Stock Units 2020-04-01 4 A 0 23325 0.00 A Common Stock 23325 23325 D TSUs (as defined below) convert into common stock on a one-for-one basis. 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 not vested to date. PSUs (as defined below) convert into common stock on a one-for-one basis. These restricted stock units with performance and service-based vesting conditions ("PSUs") were originally granted under 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 PSUs held by the reporting person that have not vested to date. SVP, ENGINEERING & EXPLOITATION /s/ Eric M. Willis, Attorney-in-Fact 2021-01-22