0000899243-21-018096.txt : 20210504 0000899243-21-018096.hdr.sgml : 20210504 20210504161535 ACCESSION NUMBER: 0000899243-21-018096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210430 FILED AS OF DATE: 20210504 DATE AS OF CHANGE: 20210504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smiley Richard CENTRAL INDEX KEY: 0001651532 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35512 FILM NUMBER: 21888644 MAIL ADDRESS: STREET 1: 500 DALLAS STREET STREET 2: SUITE 1800 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 2021-04-30 0 0001533924 Amplify Energy Corp. AMPY 0001651532 Smiley Richard 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 2021-04-30 4 M 0 2352 A 159428 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 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. SENIOR VICE PRESIDENT, OPERATIONS /s/ Eric M. Willis, Attorney-in-Fact 2021-05-04