Sec Form 4 Filing - Smiley Richard @ Amplify Energy Corp. - 2021-10-01

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
Smiley Richard
2. Issuer Name and Ticker or Trading Symbol
Amplify Energy Corp. [ AMPY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
SVP, OPERATIONS
(Last) (First) (Middle)
500 DALLAS ST., SUITE 1700
3. Date of Earliest Transaction (MM/DD/YY)
10/01/2021
(Street)
HOUSTON, TX77002
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, par value $0.01 per share 10/01/2021 M 2,352 A 57,206 ( 2 ) 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
Restricted Stock Units ( 3 ) 04/01/2021 A 37,287 ( 3 ) ( 3 ) Common Stock 37,287 $ 0 37,287 D
Restricted Stock Units ( 4 ) 04/01/2021 A 37,287 ( 4 ) ( 4 ) Common Stock 37,287 $ 0 74,574 ( 2 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Smiley Richard
500 DALLAS ST.
SUITE 1700
HOUSTON, TX77002
SVP, OPERATIONS
Signatures
/s/ Eric M. Willis, Attorney-in-Fact 10/05/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Reflects shares of common stock, par value $0.01 per share ("Common Stock") of Amplify Energy Corp. (the "Company") granted upon settlement of previously awarded restricted stock units with service-based vesting conditions ("TSUs").
( 2 )The total shares reported as directly held in Table I, Column 5 of this Form 4 reflect a decrease of 37,287 shares representing previously awarded, but unvested, TSUs and 37,287 shares representing previously awarded, but unvested, restricted stock units with performance and service-based vesting conditions ("PSUs") that were previously reported in Table I. These PSUs and TSUs are now reported in Table II of this Form 4.
( 3 )These PSUs were granted under the Amplify Energy Corp. Equity Incentive Plan and vest pursuant to the Company's achievement of certain performance goals and so long as the reporting person remains an officer of the Company through the vesting date. Each PSU represents a contingent right to receive, upon vesting, up to 200% of one share of the Company's Common Stock.
( 4 )These TSUs were granted under the Amplify Energy Corp. Equity Incentive Plan. One-third of the TSUs vest on the first anniversary of the date of grant, one-third of the TSUs vest on the second anniversary of the date of grant and one-third of the TSUs vest on the third anniversary of the date of grant, so long as the reporting person remains an officer of the Company through the applicable vesting date. Each TSU represents a contingent right to receive one share of Common Stock of the Company upon vesting.

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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