0001104659-22-077305.txt : 20220705
0001104659-22-077305.hdr.sgml : 20220705
20220705160608
ACCESSION NUMBER: 0001104659-22-077305
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220701
FILED AS OF DATE: 20220705
DATE AS OF CHANGE: 20220705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Adams Deborah G
CENTRAL INDEX KEY: 0001721563
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35512
FILM NUMBER: 221064860
MAIL ADDRESS:
STREET 1: FULBRIGHT TOWER
STREET 2: 1301 MCKINNEY STREET, SUITE 2300
CITY: HOUSTON
STATE: TX
ZIP: 77010
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
tm2220261-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-07-01
0
0001533924
Amplify Energy Corp.
AMPY
0001721563
Adams Deborah G
C/O AMPLIFY ENERGY CORP.
500 DALLAS STREET SUITE 1700
HOUSTON
TX
77002
1
0
0
0
Restricted Stock Units
2022-07-01
4
A
0
22884
0.00
A
Common Stock
22884
22884
D
Share amount reflects an aggregate number and represents 22,884 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 a member of the board of directors of Amplify Energy Corp. through the vesting date. The TSUs convert into common stock on a one-for-one basis.
/s/ Eric M. Willis, Attorney-in-Fact
2022-07-05