0001072613-21-000389.txt : 20210503 0001072613-21-000389.hdr.sgml : 20210503 20210503133759 ACCESSION NUMBER: 0001072613-21-000389 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210503 FILED AS OF DATE: 20210503 DATE AS OF CHANGE: 20210503 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kamin Tony CENTRAL INDEX KEY: 0001311645 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16653 FILM NUMBER: 21882570 MAIL ADDRESS: STREET 1: 619 BLUFF STREET CITY: GLENCOE STATE: IL ZIP: 60022 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: 2200 S. UTICA PLACE STREET 2: SUITE 150 CITY: TULSA STATE: OK ZIP: 74114 BUSINESS PHONE: (539) 444-8002 MAIL ADDRESS: STREET 1: 2200 S. UTICA PLACE STREET 2: SUITE 150 CITY: TULSA STATE: OK ZIP: 74114 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 ownership.xml X0306 4 2021-05-03 0 0000887396 EMPIRE PETROLEUM CORP EMPR 0001311645 Kamin Tony 619 BLUFF STREET GLENCOE IL 60022 1 0 0 0 Common Stock 2021-05-03 4 X 0 100000 .50 A 1084304 I By RLR Services Partnership Common Stock 200000 I By Composite Resources LLC Common Stock 228571 I By Alpha Nexus Partners Common Stock 456667 D Common Stock Warrant (Right to Buy) 0.50 2021-05-03 4 X 0 100000 0 D 2021-03-30 2022-12-31 Common Stock 100000 0 I By RLR Services Partnership /s/ Tony Kamin 2021-05-03