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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 | ||||||||
Option Right to buy | $ 0.25 | 01/05/2015 | J(3) | 1 | 01/05/2015 | 01/04/2020 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to Buy | $ 0.44 | 10/02/2014 | J(3) | 1 | 10/02/2014 | 10/01/2019 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.44 | 07/02/2014 | J(3) | 1 | 07/02/2014 | 07/01/2019 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.48 | 04/01/2014 | J(3) | 1 | 04/01/2014 | 03/31/2019 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.41 | 01/03/2014 | J(3) | 1 | 01/03/2014 | 01/02/2019 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.41 | 10/02/2013 | J(3) | 1 | 10/02/2013 | 10/01/2018 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.48 | 07/01/2013 | J(3) | 1 | 07/01/2013 | 06/30/2018 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.62 | 04/01/2013 | J(3) | 1 | 04/01/2013 | 03/31/2018 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.64 | 01/02/2013 | J(3) | 1 | 01/02/2013 | 01/01/2018 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.73 | 10/01/2012 | J(3) | 1 | 10/01/2012 | 09/30/2017 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.81 | 07/02/2012 | J(3) | 1 | 07/02/2012 | 07/01/2017 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 1.07 | 04/02/2012 | J(3) | 1 | 04/02/2012 | 04/01/2017 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.75 | 01/03/2012 | J(3) | 1 | 01/03/2012 | 01/02/2017 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to Buy | $ 0.72 | 10/03/2011 | J(3) | 1 | 10/03/2011 | 10/02/2016 | Common Stocik | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.84 | 07/06/2011 | J(3) | 1 | 07/06/2011 | 07/05/2016 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to buy | $ 1.16 | 04/01/2011 | J(3) | 1 | 04/01/2011 | 03/31/2016 | Common Stock | 6,250 | $ 0 | 1 | D | ||||
Option Right to Buy | $ 1.08 | 03/17/2011 | J(3) | 1 | 03/17/2011 | 03/16/2016 | Common Stock | 25,000 | $ 0 | 1 | D | ||||
Option Right to buy | $ 0.43 | 02/08/2010 | J(3) | 1 | 02/08/2010 | 02/07/2015 | Common Stock | 25,000 | $ 0 | 1 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SALAS PETER E P.O. BOX 16867 FERNANDINA BEACH, FL 32035 |
X | X | ||
DOLPHIN OFFSHORE PARTNERS LP P.O. BOX 16867 FERNANDINA BEACH, FL 32035 |
X |
/s/ Peter E Salas | 01/07/2015 | |
**Signature of Reporting Person | Date | |
/s/ Dolphin Offshore Partners, L.P. | 01/07/2015 | |
**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) | In December 2014 SSB Ventures LLC, a Delaware limited liability company in which Peter. E. Salas and Dolphin Direct Equity Partners, L.P. were members, agreed to convey all of SSB's 15,458,321 Tengasco shares as follows: 218,000 shares of Tengasco, Inc. to Peter E. Salas individually and 15,240,321 shares to Dolphin Offshore Partners, L.P. ("Dolphin Offshore"). Dolphin Offshore already owned 5,180,321 Tengasco shares as previously reported. The conveyance of those shares has been completed as of the date of this Report. Peter E. Salas is the Chairman of Tengasco, Inc.'s Board of Directors and is the sole shareholder and controlling person of Dolphin Mgmt. Services, Inc., the managing general partner of both Dolphin Direct Equity Partners, L.P. and of Dolphin Offshore Partners, L.P. |
(2) | There has been no change in the total number of shares [i.e. 20,638,642] previously reported as held directly by Peter E. Salas or affiliated partnerships. As of the date of this filing, Peter E. Salas owns 218,000 shares in his individual capacity and 20,420,652 shares by affiliation with Dolphin Offshore Partners, L.P that owns 20,420,652 shares as set out in Table 1 of this filing, for a total of 20,638,642 shares. |
(3) | Grant of option pursuant to Tengasco's Stock Incentive Plan. |