Form Type: 4

SEC EDGAR Link
Accession Number:0001437749-21-025706
Date:2021-11-04
Issuer: HIGHPEAK ENERGY, INC. (HPK)
Original Submission Date:

Reporting Person:

FORBES KEITH E
421 W. 3RD STREET, SUITE 1000
FORT WORTH, TX 76102

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
EMPLOYEE STOCK OPTION (RIGHT TO BUY) 14.36 2021-11-04 deemed execution date A 5,000 (a) 2031-11-03 common stock, par value $0.0001 per share 5,000 $14.36 55,000 direct
Footnotes
IDfootnote
f1 the option vests 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.
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