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