SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Bush Mark E

(Last) (First) (Middle)
SUITE 1100, 640 - 5 AVENUE SW

(Street)
CALGARY A0 T2P 3G4

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Lone Pine Resources Inc. [ LPR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
V.P. Operations
3. Date of Earliest Transaction (Month/Day/Year)
06/06/2013
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/06/2013 M(1) 54,689 A (2) 136,421(3) D
Common Stock 06/06/2013 M(1) 209,487 A (4) 345,908 D
Common Stock 06/06/2013 D 209,487 D $0.51 136,421 D
Common Stock 06/06/2013 F(5) 21,328 D $0.51 115,093 D
Common Stock 06/06/2013 F(5) 5,510 D $0.51 109,583 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Phantom Stock Units (2) 06/06/2013 M(1) 54,689 10/11/2012 10/11/2014 Common Stock 54,689 (2) 0 D
Phantom Stock Units (4) 06/06/2013 M(1) 209,487 06/06/2013 12/15/2015 Common Stock 209,487 (4) 0 D
Explanation of Responses:
1. Pursuant to phantom stock unit agreements between the Issuer and the Reporting Person dated October 11, 2011 and January 15, 2013, the forfeiture restrictions lapsed upon the Reporting Person's termination from the Issuer on June 6, 2013.
2. Each phantom stock unit is the economic equivalent of one share of Lone Pine Resources Inc. common stock and was settled solely in shares of Lone Pine Resources Inc. common stock. No amount was paid to convert or acquire the proceeds of the derivative security.
3. This report includes non-reportable acquisitions by the reporting person pursuant to the 2012 Employee Stock Purchase Plan of Lone Pine Resources Inc.
4. Each phantom stock unit is the economic equivalent of one share of Lone Pine Resources Inc. common stock and was settled solely in cash. No amount was paid to convert or acquire the proceeds of the derivative security.
5. Satisfaction of a tax liability by withholding shares incident to the vesting of a phantom stock unit award on June 6, 2013 upon the Reporting Person's termination from the Issuer on June 6, 2013.
By: Kristina Jackson, Attorney-in-fact For: Mark E. Bush 06/07/2013
** 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).
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