Annual Statement of Changes in Beneficial Ownership (5)
04 8월 2021 - 8:35AM
Edgar (US Regulatory)
[X]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0362
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Avalon Energy, LLC | 2. Issuer Name and Ticker or Trading SymbolSandRidge Permian Trust [PER] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner _____ Officer (give title below) __X__ Other (specify below) Beneficial ownership |
(Last)
(First)
(Middle)
5000 QUORUM DRIVE, SUITE 205 | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2020 |
(Street)
DALLAS, TX 75254
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) |
Amount | (A) or (D) | Price |
Common Units of Beneficial Interest | 8/1/2021 | | J | 13125000 | D | (1) | 0 | D | |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (MM/DD/YYYY) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Pursuant to an Amended and Restated Contribution and Support Agreement, the Reporting Person transferred and assigned its 13,125,000 Common Units of Beneficial Interest of SandRidge Permian Trust to Montare Resources I, LLC ("Montare") in exchange for, among other things, (i) a limited partnership interest in an affiliate of Montare, (ii) the assumption of certain liabilities of the Reporting Person and its affiliates, and (iii) Montare's discharge of certain outstanding debt of the Reporting Person and its affiliates. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Avalon Energy, LLC 5000 QUORUM DRIVE, SUITE 205 DALLAS, TX 75254 |
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| Beneficial ownership |
Signatures
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/s/Stephen C. Pugh, President and CEO | | 8/2/2021 |
**Signature of Reporting Person | Date |
SandRidge Permian (NYSE:PER)
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부터 12월(12) 2024 으로 1월(1) 2025
SandRidge Permian (NYSE:PER)
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부터 1월(1) 2024 으로 1월(1) 2025