Filing Details

Accession Number:
0001683692-16-000016
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-10-04 17:21:06
Reporting Period:
2016-09-30
Filing Date:
2016-10-04
Accepted Time:
2016-10-04 17:21:06
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1437557 Lilis Energy Inc. LLEX Crude Petroleum & Natural Gas (1311) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1683692 Trust Living Revocable O'sullivan Sean 174 Nassau Street #3000
Princeton NJ 08542
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2016-09-30 37,657 $3.50 1,533,946 No 4 S Indirect See Footnote 3
Common Stock Disposition 2016-10-03 100,000 $3.62 1,433,946 No 4 S Indirect See Footnote 3
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect See Footnote 3
No 4 S Indirect See Footnote 3
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 110,650 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Warrant $25.00 2016-06-23 2018-06-23 200,000 200,000 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
2018-06-23 200,000 200,000 Indirect
Footnotes
  1. This represents shares of Issuer common stock held by the reporting person Sean O'Sullivan Revocable Living Trust. The natural person with ultimate voting control or investment control over the shares of common stock held by Sean O'Sullivan Revocable Living Trust is Sean O'Sullivan.
  2. These shares were sold in multiple transactions all/each at a price of $3.50. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate transaction at a price of $3.50 per share.
  3. This represents shares of Issuer common stock held by SOSV Investments LLC f/k/a SOSventures LLC. The natural person with ultimate voting control or investment control over the shares of common stock held by SOSV Investments LLC is Sean O'Sullivan, who is also the natural person with ultimate voting control or investment control over the reporting person.
  4. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $3.60 to $3.65 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
  5. The exercise price is subject to downward adjustment if, prior to nine months after June 23, 2016, the Issuer issues warrants in a capital raising transaction that entitle the holder to acquire common stock at a price per share that is less than $25.00