0001072613-19-000168.txt : 20190405 0001072613-19-000168.hdr.sgml : 20190405 20190405181404 ACCESSION NUMBER: 0001072613-19-000168 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190403 FILED AS OF DATE: 20190405 DATE AS OF CHANGE: 20190405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Morrisett Michael R. CENTRAL INDEX KEY: 0001630275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16653 FILM NUMBER: 19736123 MAIL ADDRESS: STREET 1: 3803 S. TRENTON AVENUE CITY: TULSA STATE: OK ZIP: 74105-3324 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EMPIRE PETROLEUM CORP CENTRAL INDEX KEY: 0000887396 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 731238709 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1203 EAST 33RD STREET STREET 2: SUITE 250 CITY: TULSA STATE: OK ZIP: 74105 BUSINESS PHONE: (539) 444-8002 MAIL ADDRESS: STREET 1: 1203 EAST 33RD STREET STREET 2: SUITE 250 CITY: TULSA STATE: OK ZIP: 74105 FORMER COMPANY: FORMER CONFORMED NAME: AMERICOMM RESOURCES CORP DATE OF NAME CHANGE: 19951115 FORMER COMPANY: FORMER CONFORMED NAME: AMERICOMM CORP DATE OF NAME CHANGE: 19930328 4 1 morrisett-4_18308.xml OWNERSHIP DOCUMENT X0306 4 2019-04-03 0 0000887396 EMPIRE PETROLEUM CORP EMPR 0001630275 Morrisett Michael R. 1203 E. 33RD STREET SUITE 250 TULSA OK 74105 1 1 1 0 President Employee Stock Option (right to buy) 0.33 2019-04-03 4 A 0 2500000 0 A 2029-04-02 Common Stock 2500000 2500000 D The option vests in three installments as follows: 1,250,000 shares on April 3, 2019; 625,000 shares on April 3, 2020; and 625,000 shares on April 3, 2021. /s/ Michael R. Morrisett 2019-04-05