SEC FORM 4 SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hollis Michael L.

(Last) (First) (Middle)
421 W. 3RD STREET, SUITE 1000

(Street)
FORT WORTH TX 76102

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HighPeak Energy, Inc. [ HPK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President
3. Date of Earliest Transaction (Month/Day/Year)
01/04/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 $0.0001 per share 01/04/2021 M 35,000 A $10 61,802 D
Common Stock, par value $0.0001 per share 01/04/2021 S 35,000 D $16.2(1) 26,802 D
Common Stock, par value $0.0001 per share 01/04/2021 S(2) 5,000 D $16.46 21,802 D
Common Stock, par value $0.0001 100 I See Footnote(3)
Common Stock, par value $0.0001 100 I See Footnote(3)
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 (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 Securities Underlying Derivative Security (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: 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
Nonqualified Stock Option (right to buy) $10 01/04/2021 M 35,000 (4) 08/23/2030 Common Stock, par value $0.0001 per share 35,000 $0 1,215,000 D
Warrants $11.5 01/04/2021 S(5) 5,000 09/20/2020 08/21/2025 Common Stock, par value $0.0001 per share 5,000 $4.77 33,768 D
Warrants $11.5 09/20/2020 08/21/2025 Common Stock, par value $0.0001 per share 0 100 I See Footnote(6)
Warrants $11.5 09/20/2020 08/21/2025 Common Stock, par value $0.0001 per share 0 100 I See Footnote(6)
Explanation of Responses:
1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.82 to $16.36, inclusive. The Reporting Person undertakes to provide to HighPeak Energy, Inc. (the "Issuer"), any security holder of the Issuer, or the staff of the U.S. Securities and Exchange Commission, upon request, full information regarding the number of shares of common stock, par value $0.001 per share of the Issuer ("common stock") sold at each separate price within the ranges set forth in this footnote (1).
2. The Reporting Person's sale of common stock of the Issuer reported herein was matchable under Section 16(b) of the Securities Exchange Act of 1934, as amended, to the extent of 3,386 shares of common stock, with the Reporting Person's purchase of 3,386 warrants of the Issuer (the "HPK warrants") at a price of $1.24 per share on August 31, 2020. The Reporting Person has agreed to pay the Issuer, upon settlement of the sale, $12,731.36, representing the full amount of the profit realized in connection with the short-swing transaction, less transaction costs.
3. Represents shares of common stock of the Issuer issued to the Reporting Person's son in exchange for Class A common stock, par value $0.0001 per share ("Class A Common Stock") of Pure Acquisition Corp. ("Pure") in connection with the closing of business combination transaction (the "Transaction") between Pure and the Issuer on August 21, 2020.
4. The Reporting Person was granted options pursuant to Rule 16b-3 to purchase a total of 1,250,000 shares on August 24, 2020 (the "date of grant"), vesting in three equal installments: one-third on the date of grant, one-third on the first anniversary of the date of grant, and one-third on the second anniversary of the date of grant.
5. The Reporting Person's sale of HPK warrants reported herein was matchable under Section 16(b) of the Securities Exchange Act of 1934, as amended, to the extent of 5,000 shares of common stock, with the following transactions: (i) the Reporting Person's purchase of 188 HPK Warrants at a price of $1.06 per share on August 28, 2020, (ii) the Reporting Person's purchase of 962 HPK warrants at a price of $1.24 per share on August 31, 2020, (iii) the Reporting Person's purchase of 100 HPK Warrants at a price of $1.13 per share on August 31, 2020, and (iv) the Reporting Person's purchase of 3,750 HPK warrants at a weighted average price of $1.18 per share on September 1, 2020. The Reporting Person has agreed to pay the Issuer, upon settlement of the sale, $17,942.84, representing the full amount of the profit realized in connection with the short-swing transaction, less transaction costs.
6. Represents HPK warrants to purchase common stock of the Issuer issued to the Reporting Person's son in exchange for Class A Common Stock in connection with the Transaction.
/s/ Steven W. Tholen as Attorney in Fact for Michael L. Hollis 01/06/2021
** Signature of Reporting Person Date
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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