0001144204-16-112042.txt : 20160707 0001144204-16-112042.hdr.sgml : 20160707 20160707172913 ACCESSION NUMBER: 0001144204-16-112042 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160707 DATE AS OF CHANGE: 20160707 EFFECTIVENESS DATE: 20160707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LILIS ENERGY, INC. CENTRAL INDEX KEY: 0001437557 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 000000000 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-266582 FILM NUMBER: 161757307 BUSINESS ADDRESS: STREET 1: 216 16TH STREET STREET 2: SUITE #1350 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: (303) 951-7920 MAIL ADDRESS: STREET 1: 216 16TH STREET STREET 2: SUITE #1350 CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: RECOVERY ENERGY, INC. DATE OF NAME CHANGE: 20091104 FORMER COMPANY: FORMER CONFORMED NAME: UNIVERSAL HOLDINGS INC DATE OF NAME CHANGE: 20080612 D 1 primary_doc.xml X0707 D LIVE 0001437557 LILIS ENERGY, INC. 216 16TH STREET SUITE #1350 DENVER CO COLORADO 80202 303-893-9000 NEVADA Universal Holdings, Inc. Recovery Energy, Inc. RECOVERY ENERGY, INC. UNIVERSAL HOLDINGS INC Corporation true Abraham Mirman 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Executive Officer Director Michael J. Pawelek 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Executive Officer Director Ronald D. Ormand 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Executive Officer Director Chairman of the Board Nuno Brandolini 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Director R. Glenn Dawson 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Director General Merrill McPeak 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Director Peter Benz 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Director Kevin K. Nanke 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Executive Officer Ariella Fuchs 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Executive Officer Edward Shaw 216 16th Street, Suite #1350 Denver CO COLORADO 80202 Executive Officer Oil and Gas Decline to Disclose 06b false 2016-06-22 false true false 0 T.R. Winston & Company, LLC 10571 None None 376 MAIN STREET BEDMINSTER NJ NEW JERSEY 07921 CA CALIFORNIA NY NEW YORK TX TEXAS false 20000000 17900000 2100000 false 26 3054545 true 0 0 false LILIS ENERGY, INC. /s/Ariella Fuchs Ariella Fuchs Secretary and General Counsel 2016-07-07