| FORM
3 |
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
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person
*
| 3001 QUAIL SPRINGS PARKWAY |
|
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
03/07/2017
|
3. Issuer Name
and
Ticker or Trading Symbol
GULFPORT ENERGY CORP
[
GPOR
]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| SVP, Operations |
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
|
3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
|
Common Stock
|
45,447
(1)
|
D
|
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 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: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
|
/s/ Michael G. Moore as attorney in fact for Mark K. Malone |
03/17/2017 |
|
** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
4
(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). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| 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 Number. |
GULFPORT ENERGY CORPORATION
LIMITED POWER OF ATTORNEY FOR SECTION 13 AND SECTION 16 FILINGS
I, Mark Malone, of 3001 Quail Springs Parkway, Oklahoma City, Oklahoma, 73134
do hereby make, constitute and appoint Michael G. Moore, Paul K. Heerwagen IV
and Keri Crowell, my true and lawful attorneys for the purposes hereinafter set
forth, effective as of this 24 day of February, 2017.
References in this limited power of attorney to "my Attorneys" are to the
persons named above and to the person or persons substituted hereunder pursuant
to the power of substitution granted herein.
I hereby grant to my Attorneys, for me and in my name, place and stead, the
power:
1. To execute for and on my behalf, in my capacity as a stockholder of Gulfport
Energy Corporation, a Delaware corporation (the "Company"), any Schedule 13D and
Schedule 13G, and all and any amendments thereto, in accordance with Section 13
of the Securities Exchange Act of 1934 and the rules and regulations promulgated
thereunder (the "Exchange Act");
2. To execute for and on my behalf, in my capacity as an officer, director
and/or stockholder of the Company, Form 3, Form 4, and Form 5, and all and any
amendments thereto, in accordance with Section 16(a) of the Exchange Act;
3. To do and to perform any and all acts for and on my behalf that may be
necessary or desirable to complete and execute any such Schedule 13D, Schedule
13G, Form 3, Form 4 and Form 5, or any amendment thereto, and to timely file
such schedule, form or amendment thereto with the United States Securities and
Exchange Commission (the "SEC") and any stock exchange or similar authority; and
4. To take any other action of any type whatsoever that, in the opinion of my
Attorney, may be necessary or desirable in connection with the foregoing grant
of authority, it being understood that the documents executed by my Attorney
pursuant to this limited power of attorney shall be in such form and shall
contain such terms and conditions as my Attorney may approve.
I hereby grant to my Attorneys full power and authority to do and to perform
any and every act and thing whatsoever requisite, necessary, or proper to be
done in the exercise of any of the rights and powers herein granted, as fully to
all intents and purposes as I might or could do if personally present, with full
power of substitution or revocation, hereby ratifying and confirming all that my
Attorneys shall lawfully do or cause to be done by virtue of this limited power
of attorney and the rights and powers herein granted. I acknowledge and agree
that neither my Attorneys nor the Company is assuming any of my responsibilities
to comply with the Exchange Act.
This limited power of attorney shall remain in full force and effect until I am
no longer required to file any Schedule 13D, Schedule 13G, Form 3, Form 4 or
Form 5 with respect to my holdings of, and transactions in, securities of the
Company, unless earlier revoked by me in a signed writing delivered to each of
my Attorneys and the substitutes therefore, if any. This limited power of
attorney may be filed with the SEC as a confirming statement of the authority
granted herein.
IN WITNESS WHEREOF, I have hereunto set my hand to this instrument on the date
first above written.
/s/ Mark Malone
MARK MALONE
STATE OF OKLAHOMA
COUNTY OF OKLAHOMA
Before me, Christina M. Allen, on this day personally appeared Mark Malone,
known to me to be the person whose name is subscribed to the foregoing
instrument and acknowledged to me that he executed the same for the purposes and
consideration therein expressed.
Given under my hand and seal of office this 24 day of February, 2017.
/s/ Christina M. Allen
Notary Public
My Commission Expires: 10/17/18
[Affix Notary Seal]
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