SEC Filing | Highpeak Energy

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SEC FORM 3/A SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person^*

OLDHAM LARRY

(Last)

(First)

(Middle)

421 W. 3RD STREET, SUITE 1000

(Street)

FORT WORTH

76102

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
08/21/2020

3. Issuer Name and Ticker or Trading Symbol
HighPeak Energy, Inc. [ HPK ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)
08/31/2020

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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.0001 per share	0⁽¹⁾	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Warrants	⁽¹⁾	⁽¹⁾	Common Stock, par value $0.0001 per share	0⁽¹⁾	⁽¹⁾	D
Contingent Value Rights	⁽¹⁾	⁽¹⁾	Common Stock, par value $0.0001 per share	0⁽¹⁾	⁽¹⁾	D

Explanation of Responses:

1. No securities beneficially owned. This Form 3/A is being filed to remove securities and derivative securities owned by the Reporting Person's adult son that were inadvertently included on the original Form 3 filed by the Reporting Person on August 31, 2020 (the "Original Form 3"). At the time the Original Form 3 was filed, the Reporting Person's son was not, and has not been at any time since, financially dependent on the Reporting Person or sharing the Reporting Person's household. This Form 3/A is deemed to amend the beneficial ownership totals reported in any Form 4 or Form 5 filed by the Reporting Person subsequent to the filing of the Original Form 3.

	/s/ Steven W. Tholen as Attorney in Fact for Larry C. Oldham	04/18/2022
	** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.