0001104659-22-010970.txt : 20220202
0001104659-22-010970.hdr.sgml : 20220202
20220202181712
ACCESSION NUMBER: 0001104659-22-010970
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220201
FILED AS OF DATE: 20220202
DATE AS OF CHANGE: 20220202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Willis Eric M.
CENTRAL INDEX KEY: 0001782521
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35512
FILM NUMBER: 22585292
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
tm224955-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-02-01
0
0001533924
Amplify Energy Corp.
AMPY
0001782521
Willis Eric M.
C/O AMPLIFY ENERGY CORP.
500 DALLAS STREET SUITE 1700
HOUSTON
TX
77002
0
1
0
0
SVP, GENERAL COUNSEL & LAND
Common Stock, par value $0.01 per share
2022-02-01
4
M
0
9322
A
82901
D
Common Stock, par value $0.01 per share
2022-02-01
4
F
0
2764
3.11
D
80137
D
Restricted Stock Units
2022-02-01
4
M
0
9322
0.00
D
Common Stock
9322
65252
D
Restricted Stock Units
2022-02-01
4
A
0
36058
0.00
A
Common Stock
36058
101310
D
Restricted Stock Units
2022-02-01
4
A
0
36058
0.00
A
Common Stock
36058
137368
D
Reflects shares of common stock, par value $0.01 per share ("Common Stock") of Amplify Energy Corp. (the "Company") granted upon settlement of previously awarded restricted stock units with performance and service-based vesting conditions ("PSUs").
These PSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest pursuant to the Company's achievement of certain performance goals and so long as the reporting person remains employed by the Company through the vesting date. Each PSU represents a contingent right to receive, upon vesting, up to 200% of one share of the Company's Common Stock.
Share amount reflects an aggregate number and represents 36,058 unvested restricted stock units with service-based vesting conditions ("TSUs"). These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest on the first anniversary of the date of grant so long as the reporting person remains employed by the Company through the vesting date. The TSUs convert into the Company's Common Stock on a one-for-one basis.
Share amount reflects an aggregate number and represents 36,058 PSUs. These PSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest pursuant to the Company's achievement of certain performance goals and so long as the reporting person remains employed by the Company through the vesting date. Each PSU represents a contingent right to receive, upon vesting, up to 200% of one share of the Company's Common Stock.
/s/ Eric M. Willis
2022-02-02