0000899243-21-005712.txt : 20210210 0000899243-21-005712.hdr.sgml : 20210210 20210210172955 ACCESSION NUMBER: 0000899243-21-005712 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210210 FILED AS OF DATE: 20210210 DATE AS OF CHANGE: 20210210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglas Patrice D CENTRAL INDEX KEY: 0001641185 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 21615257 MAIL ADDRESS: STREET 1: 1712 CROSSBOW CITY: EDMOND STATE: OK ZIP: 73034 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-02-10 1 0001533924 Amplify Energy Corp. AMPY 0001641185 Douglas Patrice D C/O AMPLIFY ENERGY CORP. 500 DALLAS STREET, SUITE 1700 HOUSTON TX 77002 1 0 0 0 The reporting person is a Director of Amplify Energy Corp. Exhibit 24 - Power of Attorney /s/ Eric M. Willis, Attorney-in-Fact 2021-02-10 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY
                      FOR SECTION 16 REPORTING OBLIGATIONS

                               February 10, 2021

     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/ Patrice Douglas
                                   ---------------------------------------------
                                   Patrice Douglas