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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 | ||||||||
Performance Stock Unit | (1) | 02/28/2019 | M | 10,980 | (1) | (1) | Common Stock | 10,980 | $ 0 | 0 | D | ||||
Performance Stock Unit | (2) | 02/28/2019 | M | 16,387 | (2) | (2) | Common Stock | 16,387 | $ 0 | 0 | D | ||||
Performance Stock Unit | (3) | 02/28/2019 | M | 3,853 | (3) | (3) | Common Stock | 3,853 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LIBERATORE THOMAS S 2121 OLD GATESBURG ROAD, SUITE 110 STATE COLLEGE, PA 16803 |
See Remarks |
/s/ Christopher K. Hulburt, attorney-in-fact | 03/04/2019 | |
**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 28, 2019, pursuant to the terms of a Separation and Release Agreement (the "Separation Agreement"), a total of 10,980 unvested performance stock units granted to the Reporting Person on April 22, 2016 became vested and converted into shares of common stock, par value $0.01 per share ("Common Stock"), of Montage Resources Corporation (the "Company") on a one-for-one basis. |
(2) | On February 28, 2019, pursuant to the terms of the Separation Agreement, a total of 16,387 unvested performance stock units granted to the Reporting Person on February 24, 2017 became vested and converted into shares of Common Stock on a one-for-one basis. |
(3) | On February 28, 2019, pursuant to the terms of the Separation Agreement, a total of 3,853 unvested performance stock units granted to the Reporting Person on February 23, 2018 became vested and converted into shares of Common Stock on a one-for-one basis, while the remaining 5,660 unvested performance stock units were forfeited and canceled. |
(4) | Represents shares of Common Stock held by Kirkwood Capital, L.P., which is controlled by the Reporting Person. |
Remarks: - All balances reflect a 15-to-1 reverse stock split of the Common Stock effected on February 28, 2019. - This beneficial ownership report is filed to report that the Reporting Person is no longer subject to Section 16 of the Securities Exchange Act of 1934, as amended, with respect to securities of the Company. |