0000902664-21-000628.txt : 20210128 0000902664-21-000628.hdr.sgml : 20210128 20210128111340 ACCESSION NUMBER: 0000902664-21-000628 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210120 FILED AS OF DATE: 20210128 DATE AS OF CHANGE: 20210128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kimmeridge Energy Management Company, LLC CENTRAL INDEX KEY: 0001706220 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37907 FILM NUMBER: 21562946 BUSINESS ADDRESS: STREET 1: 412 WEST 15TH STREET STREET 2: 11TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10011 BUSINESS PHONE: 646-517-7252 MAIL ADDRESS: STREET 1: 412 WEST 15TH STREET STREET 2: 11TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10011 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 3 1 ownership.xml X0206 3 2021-01-20 0 0001655020 Extraction Oil & Gas, Inc. XOG 0001706220 Kimmeridge Energy Management Company, LLC 412 WEST 15TH STREET 11TH FLOOR NEW YORK NY 10011 0 0 1 1 See Remarks Common Stock 9799080 I See Footnote The securities to which this filing relates are held directly by Kimmeridge Chelsea, LLC (the "Kimmeridge Fund"). Kimmeridge Energy Management Company, LLC, a Delaware limited liability company (the "Reporting Person") acts as the investment adviser to the parent company of the Kimmeridge Fund. The filing of this statement shall not be deemed an admission that the Reporting Person is the beneficial owner of the securities reported herein for purposes of Section 16 of the Securities Act of 1934, as amended, or otherwise. The Reporting Person expressly disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein. The Reporting Person may be deemed to be a director by deputization for purposes of Section 16 under the Securities Exchange Act of 1934, as amended, by virtue of the fact that Mr. Benjamin Dell, its managing member, currently serves on the board of directors of the Issuer. Kimmeridge Energy Management Company, LLC, /s/ Benjamin Dell, Managing Member 2021-01-28