Filing Details

Accession Number:
0001072613-21-000576
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-09-30 18:43:53
Reporting Period:
2021-09-28
Accepted Time:
2021-09-30 18:43:53
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
887396 Empire Petroleum Corp EMPR Crude Petroleum & Natural Gas (1311) 731238709
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1724601 W. Thomas Pritchard 2200 S. Utica Place
Suite 150
Tulsa OK 74114
Chief Executive Officer Yes Yes No 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 Acquisiton 2021-09-28 200,000 $0.25 200,000 No 4 X Direct
Common Stock Disposition 2021-09-28 200,000 $0.75 0 No 4 S Direct
Common Stock Acquisiton 2021-09-28 143,600 $0.33 143,600 No 4 X Direct
Common Stock Disposition 2021-09-28 143,600 $0.75 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 X Direct
No 4 S Direct
No 4 X Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Common Stock Warrant (Right to Buy) Disposition 2021-09-28 200,000 $0.00 200,000 $0.25
Common Stock Employee Stock Option (Right to Buy) Disposition 2021-09-28 2,500,000 $0.00 143,600 $0.33
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2017-12-01 2029-04-02 No 4 X Direct
2,356,400 2019-04-03 2029-04-02 No 4 X Direct
Footnotes
  1. Common Stock Warrant was amended on 04/03/2019 to extend the expiration date from 12/31/2021 to 04/02/2029.
  2. The Option vests in three installments as follows: 1,250,000 on April 3, 2019; 625,000 on April 3, 2020; and 625,000 on April 3, 2021.