SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Peterson Lynn A

(Last) (First) (Middle)
1775 SHERMAN STREET, SUITE 3000

(Street)
DENVER CO 80203

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PDC ENERGY, INC. [ PDCE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/14/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/14/2020 A 113,466(1) A (2) 113,466 D
Common Stock 01/14/2020 A 29,116(3) A (4) 142,582 D
Common Stock 01/14/2020 A 75,039(5) A (6) 217,621 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Performance Share Units (7) 01/14/2020 A 66,906 (7) 12/31/2021 Common Stock 66,906 (8) 66,906 D
Explanation of Responses:
1. On January 14, 2020, PDC Energy, Inc. ("PDC") and SRC Energy Inc. ("SRC") completed the transactions contemplated by that certain Agreement and Plan of Merger, dated August 25, 2019, by and between PDC and SRC (the "Merger Agreement"), pursuant to which SRC merged with and into PDC, with PDC as the surviving corporation (the "Merger"). Pursuant to the Merger Agreement, at the Effective Time (as defined therein), each share of SRC common stock, par value $0.001 per share ("SRC Common Stock"), beneficially owned by the Reporting Person at the Effective Time of the Merger, was cancelled and exchanged for 0.158 shares of PDC common stock, par value $0.01 per share ("PDC Common Stock").
2. Received in exchange for 718,140 shares of SRC Common Stock in connection with the Merger. On the effective date of the Merger, the closing price of PDC Common Stock was $25.16 per share and the closing price of SRC Common Stock was $4.00 per share.
3. Pursuant to the Merger Agreement, at the Effective Time, the SRC restricted stock units of the Reporting Person immediately vested and were converted into the right to receive a number of shares of PDC Common Stock that is equal to the product of (a) the number of shares of SRC Common Stock subject to such SRC restricted stock units as of immediately prior to the Effective Time, multiplied by (b) 0.158, subject to any applicable withholding taxes, with cash in lieu of fractional shares.
4. Received in exchange for 328,605 SRC restricted stock units in connection with the Merger. On the effective date of the Merger, the closing price of PDC Common Stock was $25.16 per share and the closing price of SRC Common Stock was $4.00 per share.
5. Pursuant to the Merger Agreement, at the Effective Time, certain of the SRC performance share units of the Reporting Person immediately vested and were converted into the right to receive a number of shares of PDC Common Stock that is equal to the product of (a) the number of shares of SRC Common Stock subject to such SRC performance share units as of immediately prior to the Effective Time, multiplied by (b) 0.158, subject to any applicable withholding taxes, with cash in lieu of fractional shares.
6. Received in exchange for 846,906 SRC performance share units in connection with the Merger. On the effective date of the Merger, the closing price of PDC Common Stock was $25.16 per share and the closing price of SRC Common Stock was $4.00 per share.
7. Pursuant to the Merger Agreement, at the Effective Time, certain SRC performance share units of the Reporting Person were converted into the right to receive a number of shares of PDC performance share units that is equal to the product of (a) the number of shares of SRC Common Stock subject to such SRC performance share units as of immediately prior to the Effective Time, multiplied by (b) 0.158, rounding the resulting number to the nearest whole number of shares. Each PDC performance share unit represents a contingent right to receive 0-200% of that number in shares of PDC common stock. The amount reported represents the "target" number. The performance share units vest upon achievement of specified metrics compared to certain peers, as described in the related grant agreement.
8. Received in exchange for 423,453 performance shares units of SRC in connection with the Merger. On the effective date of the Merger, the closing price of PDC Common Stock was $25.16 per share and the closing price of SRC Common Stock was $4.00 per share.
/s/ Nicole L. Martinet under Power of Attorney by Lynn A. Peterson 01/14/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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