Filing Details

Accession Number:
0001683692-16-000005
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2016-09-02 15:37:07
Reporting Period:
2016-06-23
Filing Date:
2016-09-02
Accepted Time:
2016-09-02 15:37:07
Original Submission Date:
2016-09-02
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 Acquisiton 2016-06-23 242,172 $0.00 242,172 No 4 J Direct
Common Stock Acquisiton 2016-06-23 1,863,946 $0.00 2,106,118 No 4 J Indirect See Footnotes 2,3,4
Common Stock Disposition 2016-08-30 5,000 $3.00 2,101,118 No 4 S Indirect See Footnotes 2,3,6
Common Stock Disposition 2016-08-30 15,526 $3.00 2,085,582 No 4 S Indirect See Footnotes 2,3,7
Common Stock Disposition 2016-08-30 19,596 $3.10 2,065,996 No 4 S Indirect See Footnotes 2,3,8
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Direct
No 4 J Indirect See Footnotes 2,3,4
No 4 S Indirect See Footnotes 2,3,6
No 4 S Indirect See Footnotes 2,3,7
No 4 S Indirect See Footnotes 2,3,8
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant Acquisiton 2016-06-23 200,000 $25.00 200,000 $25.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
200,000 2016-06-23 2018-06-23 No 4 J Indirect
Footnotes
  1. On June 23, 2016, pursuant to an Agreement and Plan of Merger, dated December 29, 2015 (the "Merger Agreement"), as amended on January 20, 2016, March 24, 2016 and June 22, 2016,by and among Lilis Energy, Inc. ("Issuer"), Lilis Merger Sub, Inc., a wholly owned subsidiary of Issuer ("Merger Sub"), and Brushy Resources, Inc. ("Brushy"), Merger sub merged with and into Brushy with Brushy continuing as the surviving entity and a wholly owned subsidiary of the Issuer (the "Merger"). As result of the Merger, the shares of Brushy common stock were exchanged for shares of Issuer common stock at a ratio of 0.4550916 shares of Issuer common stock for every one share of Brushy common stock. This represents shares of Brushy common stock that were exchanged for shares of Issuer common stock in connection with the Merger.
  2. 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.
  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. This represents 242,172 share of Issuer common stock held by the reporting person and 1,863,946 shares of Issuer common stock held by SOSV Investments LLC f/k/a SOSVentures LLC.
  5. The common stock shares were sold by the reporting person.
  6. This represents 237,172 share of Issuer common stock held by the reporting person and 1,863,946 shares of Issuer common stock held by SOSV Investments LLC f/k/a SOSVentures LLC.
  7. This represents 221,646 share of Issuer common stock held by the reporting person and 1,863,946 shares of Issuer common stock held by SOSV Investments LLC f/k/a SOSVentures LLC.
  8. This represents 202,050 share of Issuer common stock held by the reporting person and 1,863,946 shares of Issuer common stock held by SOSV Investments LLC f/k/a SOSVentures LLC.
  9. 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.