Statement of Changes in Beneficial Ownership (4)
25 Gennaio 2018 - 5:27PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Savage Robert L
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2. Issuer Name
and
Ticker or Trading Symbol
RESERVE PETROLEUM CO
[
RSRV
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
8326 GLENWOOD AVENUE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/4/2010
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(Street)
OKLAHOMA CITY, OK 73114
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
(1)
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3/4/2010
(1)
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(1)
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J
(1)
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1269
(1)
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D
(1)
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$0
(1)
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0
(1)
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I
(1)
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(1)
(1)
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Common Stock
(1)
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3/4/2010
(1)
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(1)
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J
(1)
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1269
(1)
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A
(1)
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$0
(1)
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1269
(1)
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I
(1)
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(1)
(1)
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Common Stock
(2)
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8/3/2012
(2)
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(2)
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J
(2)
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100
(2)
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A
(2)
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$0
(2)
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1369
(2)
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I
(2)
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(2)
(2)
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Common Stock
(3)
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8/3/2012
(3)
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(3)
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J
(3)
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601
(3)
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A
(3)
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$0
(3)
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1970
(3)
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I
(3)
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(3)
(3)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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By the Robert L. Savage Revocable Living Trust Dated March 4, 2010 Robert L. Savage Trustee (the "Robert Savage Trust"), which acquired the shares by assignment from the Reporting Person. The Reporting Person inadvertently failed to file a Form 4 reporting his indirect ownership at the time of the assignment.
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(2)
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By Paxton Petroleum, LLC, an Oklahoma limited liability company ("Paxton"). The Robert Savage Trust is a Member of, and owns units in, Paxton, having become a Member on August 3, 2012. The Reporting Person does not know the price paid for the shares by Paxton. The Reporting Person inadvertently failed to file a Form 4 reporting his indirect beneficial ownership of the shares at the time the Robert Savage Trust became a Member of Paxton.
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(3)
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By Halsell Petroleum, LLC, an Oklahoma limited liability company ("Halsell"). The Robert Savage Trust is a Member of, and owns units in, Halsell, having become a Member on August 3, 2012. The Reporting Person does not know the price paid for the shares by Halsell. The Reporting Person inadvertently failed to file a Form 4 reporting his indirect beneficial ownership of the shares at the time the Robert Savage Trust became a Member of Halsell.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Savage Robert L
8326 GLENWOOD AVENUE
OKLAHOMA CITY, OK 73114
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X
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Signatures
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Robert L. Savage
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1/25/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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