Civitas Resources Inc.

12/01/2021 | Press release | Distributed by Public on 12/01/2021 15:57

Amendment to Initial Statement of Beneficial Ownership (Form 3/A)

Ownership Submission
FORM 3/A
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 *
TRIMBLE JAMES M
2. Date of Event Requiring Statement (Month/Day/Year)
2021-11-01
3. Issuer Name and Ticker or Trading Symbol
CIVITAS RESOURCES, INC. [CIVI]
(Last) (First) (Middle)
410 - 17TH STREET, SUITE 1400
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 Original Filed(Month/Day/Year)
2021-11-02
(Street)
DENVER CO 80202
6. Individual or Join/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security 2. Amount of Securities Beneficially Owned 3. Ownership Form: Direct (D) or Indirect (I) 4. Nature of Indirect Beneficial Ownership
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 2. Date Exercisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 6. Nature of Indirect Beneficial Ownership
Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
TRIMBLE JAMES M
410 - 17TH STREET, SUITE 1400

DENVER, CO80202
X


Signatures

By: Roberta L. Louis, attorney-in-fact For: James M. Trimble 2021-12-01
**Signature of Reporting Person Date

Explanation of Responses:

(*) 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).
(1) On November 2, 2021, the reporting person filed a Form 3 which reported that the reporting person directly owned no shares of common stock. This amendment is being filed to report that the reporting person directly owned 25,246 shares of common stock, which were issued to the reporting person in connection with the agreement and plan of merger by and between the Issuer, Crestone Peak Resources LP and related parties and were attributable to equity interests previously held by the reporting person in Crestone Peak Resources LP. The shares omitted from the Form 3 were also omitted from one Form 4 filed by the reporting person on the same day the original Form 3 was filed.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.