HighPeak Energy, Inc. — Director's Dealing 2021

Jun 17, 2021

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: HighPeak Energy, Inc. (HPK)
CIK: 0001792849
Period of Report: 2020-12-31

Reporting Person: Gustin Michael H. (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2020-12-22	Common Stock, par value $0.0001 per share	G	12500	—	Disposed	0	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock, par value $0.0001 per share	14500	Indirect

Footnotes

F1: This is a reporting of a late-filing of a Form 5 bona fide gift.

F2: On December 22, 2020, the Reporting Person transferred 12,500 restricted shares of HighPeak Energy, Inc.'s common stock to a family trust of which the Reporting Person and the Reporting Person's wife are trustees. The Reporting Person and members of his immediate family are the sole beneficiaries of the trust.

F3: Represents shares held by Reporting Person's family trust.