0001655020-21-000222.txt : 20211029 0001655020-21-000222.hdr.sgml : 20211029 20211029212319 ACCESSION NUMBER: 0001655020-21-000222 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211027 FILED AS OF DATE: 20211029 DATE AS OF CHANGE: 20211029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Christ Eric J CENTRAL INDEX KEY: 0001592443 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37907 FILM NUMBER: 211365092 MAIL ADDRESS: STREET 1: 370 17TH ST. STREET 2: SUITE 5300 CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Extraction Oil & Gas, Inc. CENTRAL INDEX KEY: 0001655020 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 461473923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 370 17TH STREET STREET 2: SUITE 5200 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: (720) 557-8300 MAIL ADDRESS: STREET 1: 370 17TH STREET STREET 2: SUITE 5200 CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: Extraction Oil & Gas, LLC DATE OF NAME CHANGE: 20151007 4 1 wf-form4_163555698079934.xml FORM 4 X0306 4 2021-10-27 1 0001655020 Extraction Oil & Gas, Inc. XOG 0001592443 Christ Eric J 370 17TH STREET SUITE 5200 DENVER CO 80202 0 1 0 0 VP, Gen Counsel & Corp Sec COMMON STOCK 2021-10-27 4 A 0 84600 0 A 98700 D COMMON STOCK 2021-10-27 4 F 0 43412 69.23 D 55288 D Performance Stock Unit 2021-10-27 4 D 0 42300 0 D COMMON STOCK 84600.0 0 D Vesting of the Performance Stock Units was accelerated in full, with settlement on a two for one basis, in connection with the reporting person's termination from employment. The reported securities include 14,100 shares of common stock received in respect of restricted stock units granted on January 20, 2021 and previously reported in Table I, for which vesting was accelerated in full in connection with the reporting person's termination from employment. /s/ Eric J. Christ as Attorney-in-Fact 2021-10-29