0001437749-21-027741.txt : 20211202 0001437749-21-027741.hdr.sgml : 20211202 20211202191221 ACCESSION NUMBER: 0001437749-21-027741 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211130 FILED AS OF DATE: 20211202 DATE AS OF CHANGE: 20211202 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: 211468277 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 2021-11-30 0001792849 HighPeak Energy, Inc. HPK 0001559864 Hollis Michael L. 421 W. 3RD STREET, SUITE 1000 FORT WORTH TX 76102 1 1 President Common Stock, par value $0.0001 per share 2021-11-30 4 P 0 2801 13.25 A 185057 D Common Stock, par value $0.0001 per share 2021-12-02 4 P 0 2200 13.17 A 187257 D Warrants (right to buy) 11.50 2021-11-30 4 P 0 2538 4.45 A 2021-11-30 2025-08-21 Common Stock, par value $0.0001 per share 2538 36672 D Warrants (right to buy) 11.50 2021-12-01 4 P 0 1846 4.50 A 2021-12-01 2025-08-21 Common Stock, par value $0.0001 per share 1846 38518 D Warrants (right to buy) 11.50 2021-12-02 4 P 0 3403 4.49 A 2021-12-02 2025-08-21 Common Stock, par value $0.0001 per share 3403 41921 D These shares of common stock were purchased in multiple transactions at a price of $13.25 per share. The price reported in Column 4 is a weighted average price. These shares of common stock were purchased in multiple transactions at prices ranging from $13.13 to $13.25, 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 shares of common stock purchased at each separate price within the ranges set forth in footnote (2) to this Form 4. The price reported in Column 8 is a weighted average price. These warrants were purchased in multiple transactions at prices ranging from $4.42 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 footnotes (3) and (5) to this Form 4. These warrants were purchased in multiple transactions at a price of $4.50 per warrant. The price reported in Column 8 is a weighted average price. These warrants were purchased in multiple transactions at prices ranging from $4.44 to $4.50, inclusive. /s/ Steven W. Tholen as Attorney in Fact for Michael L. Hollis 2021-12-02