0001072613-21-000436.txt : 20210601 0001072613-21-000436.hdr.sgml : 20210601 20210601204247 ACCESSION NUMBER: 0001072613-21-000436 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210527 FILED AS OF DATE: 20210601 DATE AS OF CHANGE: 20210601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pritchard Thomas W. CENTRAL INDEX KEY: 0001724601 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16653 FILM NUMBER: 21987371 MAIL ADDRESS: STREET 1: 15798 SPYGLASS HILL LOOP CITY: GAINESVILLE STATE: VA ZIP: 20155 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 2021-05-27 0 0000887396 EMPIRE PETROLEUM CORP EMPR 0001724601 Pritchard Thomas W. 2200 S. UTICA PLACE SUITE 150 TULSA OK 74114 1 1 0 0 Chief Executive Officer Common Stock 2021-05-27 4 X 0 300000 0.25 A 300000 D Common Stock 2021-05-27 4 S 0 300000 0.75 D 0 D Common Stock Warrant (Right to Buy) 0.25 2021-05-27 4 X 0 300000 0 D 2017-12-01 2029-04-02 Common Stock 300000 200000 D Common Stock Warrant was amended on 04/03/2019 to extend the expiration date from 12/31/2021 to 04/02/2029. /s/ Thomas W. Pritchard 2021-06-01