Sec Form 4 Filing - KAUFMAN SCOTT D @ Creek Road Miners, Inc. - 2022-03-30

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
KAUFMAN SCOTT D
2. Issuer Name and Ticker or Trading Symbol
Creek Road Miners, Inc. [ CRKR]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO and President
(Last) (First) (Middle)
C/O CREEK ROAD MINERS, INC., 2700 HOMESTEAD ROAD, SUITE 50
3. Date of Earliest Transaction (MM/DD/YY)
03/30/2022
(Street)
PARK CITY, UT84098
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/31/2022 S 7,000 D $ 2.7119 1,202,523 D
Common Stock 03/31/2022 S 11,000 D $ 2.6333 1,202,523 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock $ 0 03/30/2 022 M 6,249 09/30/2021 ( 1 ) Common Stock 357,085 ( 1 ) 6,250 D
Convertible Debenture $ 0.175 03/30/2022 C 12/19/2019 12/31/2022 Common Stock 11,000 ( 2 ) $ 2,496,850 I See Footnote 3.( 3 )
Convertible Debenture $ 0.175 03/31/2022 C 12/19/2019 12/31/2022 Common Stock 7,000 ( 2 ) $ 2,496,850 I See Footnote 3.( 3 )
Series A Preferred Stock ( 1 ) 12/31/2021 ( 1 ) Common Stock 357,142 6,250 D
Options $ 2.65 12/01/2021 ( 4 ) Common Stock 2,625,000 2,625,000 D
Options $ 0.25 08/03/2020 08/03/2025 Common Stock 37,500 37,500 D
Convertible Debenture $ 0.175 12/19/2019 12/31/2022 Common Stock 14,267,714 $ 2,496,850 I See Footnote 3.( 3 )
Warrant $ 0.175 12/19/2019 12/01/2024 Common Stock 4,285,174 4,285,174 I See Footnote 3.( 3 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
KAUFMAN SCOTT D
C/O CREEK ROAD MINERS, INC.
2700 HOMESTEAD ROAD, SUITE 50
PARK CITY, UT84098
X X CEO and President
Signatures
/s/ Scott D. Kaufman 04/01/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each share of Series A Preferred Stock (the "Preferred Stock") is convertible into a number of shares of common stock determined by dividing the stated value of each share of Preferred Stock (currently $10) by the conversion price then in effect (currently $0.175). The Preferred Stock does not expire.
( 2 )The dollar face amount of the Debenture is convertible into shares of common stock at the conversion price then in effect (currently $0.175).
( 3 )Securities held by Barlock 2019 Fund, LP, an entity over which Scott Kaufman has managerial control.
( 4 )Options granted pursuant to incentive and award plans. 25% of the options vest when the common share VWAP computed over 30 trading days reaches $2.50, $3.00, $3.50 and $4.00.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).

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