<SEC-DOCUMENT>0001006655-17-000018-index.html : 20170804 <SEC-HEADER>0001006655-17-000018.hdr.sgml : 20170804 <ACCEPTANCE-DATETIME>20170804170707 ACCESSION NUMBER: 0001006655-17-000018 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170630 FILED AS OF DATE: 20170804 DATE AS OF CHANGE: 20170804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Keys Randall D CENTRAL INDEX KEY: 0001050736 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32942 FILM NUMBER: 171009403 MAIL ADDRESS: STREET 1: 3 HICKORY SHADOWS DR CITY: HOUSTON STATE: TX ZIP: 77055 FORMER NAME: FORMER CONFORMED NAME: KEYS RANDALL D DATE OF NAME CHANGE: 19971203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EVOLUTION PETROLEUM CORP CENTRAL INDEX KEY: 0001006655 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 411781991 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1155 DAIRY ASHFORD ROAD STREET 2: SUITE 425 CITY: HOUSTON STATE: TX ZIP: 77079 BUSINESS PHONE: 713-935-0122 MAIL ADDRESS: STREET 1: 1155 DAIRY ASHFORD ROAD STREET 2: SUITE 425 CITY: HOUSTON STATE: TX ZIP: 77079 FORMER COMPANY: FORMER CONFORMED NAME: NATURAL GAS SYSTEMS INC/NEW DATE OF NAME CHANGE: 20040817 FORMER COMPANY: FORMER CONFORMED NAME: NATURAL GAS SYSTEMS, INC. DATE OF NAME CHANGE: 20040810 FORMER COMPANY: FORMER CONFORMED NAME: REALITY INTERACTIVE INC DATE OF NAME CHANGE: 19960301 </SEC-HEADER> <DOCUMENT> <TYPE>5 <SEQUENCE>1 <FILENAME>wf-form5_150188081304555.xml <DESCRIPTION>FORM 5 <TEXT> Document 1 - file: wf-form5_150188081304555.html
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