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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (right to buy) | $ 14.72 | 02/10/2017 | D | 50,000 | (3) | 08/02/2020 | Common Stock | 50,000.00 | (4) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 8.80 | 02/10/2017 | D | 75,000 | (5) | 11/30/2021 | Common Stock | 75,000.00 | (4) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 8.24 | 02/10/2017 | D | 103,123 | (6) | 10/15/2023 | Common Stock | 103,123.00 | (4) | 0 | D | ||||
Employee Stock Option (right to buy) | $ 14.40 | 02/10/2017 | D | 31,250 | 08/01/2016 | 10/31/2024 | Common Stock | 31,250.00 | (4) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Lafargue Antoine Jean 1201 LOUISIANA STREET HOUSTON, TX 77002 |
SVP - CFO, Treas, Corp Sec. |
/S/ Antoine Lafargue | 02/14/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | On February 10, 2017, pursuant to his employment agreement with Tellurian Services LLC, an indirect subsidiary of the issuer, dated as of February 9, 2017 (the "Employment Agreement"), the reporting person was granted 800,000 shares of restricted common stock. The restricted common stock award consists of (i) 150,000 shares that vest in equal quarterly installments over an 18-month period starting on the grant date, subject to continued employment through each applicable vesting date and (ii) 650,000 shares that vest upon the affirmative investment decision by the board of directors of the issuer. |
(2) | On February 10, 2017, the reporting person forfeited 62,500 shares of common stock pursuant to the Employment Agreement. |
(3) | These stock options vested equally over three years beginning on August 2, 2011 through August 2, 2013 |
(4) | On February 10, 2017, pursuant to the Employment Agreement, the reporting person forfeited these vested stock options and the 62,500 shares of restricted common stock referenced in footnote (2) above in exchange for the 800,000 shares of restricted common stock referenced in footnote (1) above. |
(5) | 50,000 of these stock option vested equally over two years beginning on November 11, 2012 through November 11, 2013. The remaining 25,000 stock options vested on March 31, 2014. |
(6) | 25,780 of these stock options vested on March 31, 2014. The remaining 77,343 shares vested on August 1, 2016. |