0001437749-21-027414.txt : 20211124 0001437749-21-027414.hdr.sgml : 20211124 20211124202659 ACCESSION NUMBER: 0001437749-21-027414 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211122 FILED AS OF DATE: 20211124 DATE AS OF CHANGE: 20211124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hollis Michael L. CENTRAL INDEX KEY: 0001559864 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39464 FILM NUMBER: 211448883 MAIL ADDRESS: STREET 1: 500 WEST TEXAS STREET 2: SUITE 1225 CITY: MIDLAND STATE: TX ZIP: 79701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HighPeak Energy, Inc. CENTRAL INDEX KEY: 0001792849 STANDARD INDUSTRIAL CLASSIFICATION: DRILLING OIL & GAS WELLS [1381] IRS NUMBER: 843533602 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 421 W. 3RD STREET STREET 2: SUITE 1000 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: (817) 850-9200 MAIL ADDRESS: STREET 1: 421 W. 3RD STREET STREET 2: SUITE 1000 CITY: FORT WORTH STATE: TX ZIP: 76102 4 1 rdgdoc.xml FORM 4 X0306 4 2021-11-22 0001792849 HighPeak Energy, Inc. HPK 0001559864 Hollis Michael L. 421 W. 3RD STREET, SUITE 1000 FORT WORTH TX 76102 1 1 President Warrants (right to buy) 11.50 2021-11-22 4 P 0 366 4.45 A 2021-11-22 2025-08-21 Common Stock, par value $0.0001 per share 366 34134 D The price reported in Column 8 is a weighted average price. These warrants were purchased in multiple transactions at prices ranging from $4.45 to $4.50, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of warrants purchased at each separate price within the ranges set forth in footnote (1) to this Form 4. /s/ Steven W. Tholen as Attorney in Fact for Michael L. Hollis 2021-11-24