UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Doughty Jason C/O KOSMOS ENERGY, LLC 8176 PARK LANE, SUITE 500 DALLAS, TX 75231 |
 |  |  Senior V.P., General Counsel |  |
/s/ Phillip Feiner, as Attorney-in-Fact | 11/20/2012 | |
**Signature of Reporting Person | Date |
* | 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) | Of these: (1) 31,840 restricted shares that were granted under the Issuer's Long-Term Incentive Plan (the "Plan") are scheduled to vest ratably on October 1 of each of 2013, 2014 and 2015, subject to the terms of the Plan and the applicable award agreement issued thereunder, which terms provide for accelerated vesting under specified circumstances; (2) 42,453 restricted shares that were granted under the Plan and that are scheduled to vest on May 16, 2015, subject to the satisfaction of service and performance conditions specified in the Plan and an award agreement issued under the plan, which terms provide for accelerated vesting under specified circumstances; and (3) 25,962 restricted share units that were granted under the Plan and are scheduled to vest 25% on June 1 of each of 2013, 2014, 2015 and 2016, subject to the terms of the Plan and the applicable award agreement issued thereunder, which terms provide for accelerated vesting under specified circumstances. |