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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Yorktown V CO LLC 410 PARK AVENUE 19TH FLOOR NEW YORK, NY 10022 |
X | |||
YORKTOWN ENERGY PARTNERS V LP 410 PARK AVENUE 19TH FLOOR NEW YORK, NY 10022 |
X |
Yorktown V Company LLC /s/ J. Curtis Henderson, by power of attorney | 11/16/2007 | |
**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) | These securities were acquired by Yorktown Energy Partners V, L.P., of which Yorktown V Company LLC is the general partner, as consideration for the contribution of certain equity interests in Approach Oil & Gas Inc. ("AOG") pursuant to the terms of that certain Contribution Agreement dated June 29, 2007, by and among the issuer, AOG, Yorktown Energy Partners V, L.P., Yorktown Energy Partners VI, L.P., Lubar Equity Fund, LLC, Yorktown Energy Partners VII, L.P. and Neo Canyon Exploration, L.P. |
(2) | The Reporting Person disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for Section 16 or for any other purposes. |
(3) | These securities are owned directly by Yorktown Energy Partners V, L.P., of which Yorktown V Company LLC is the general partner. Yorktown V Company LLC is an indirect beneficial owner of the reported securities. |