Filing Details

Accession Number:
0001072613-17-000617
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-12-05 15:01:25
Reporting Period:
2017-12-01
Accepted Time:
2017-12-05 15:01:25
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
1311645 Tony Kamin 619 Bluff Street
Glencoe IL 60022
Yes 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 2017-12-01 140,000 $0.10 140,000 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P 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) Acquisiton 2017-12-01 140,000 $0.00 140,000 $0.15
Common Stock Common Stock Warrant (Right to Buy) Acquisiton 2017-12-01 1,000,000 $0.00 1,000,000 $0.25
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
140,000 2017-12-01 2019-12-31 No 4 P Direct
1,000,000 2017-12-01 2021-12-31 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 217,637 Indirect By RLR Services Partnership
Footnotes
  1. The Common Stock Warrant was issued as partial consideration in connection with the purchase of Common Stock on 12/1/17.