U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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(f) of the Investment Company Act of 1940
[_] Check box if no longer subject of Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person*
Behrens Christopher C.
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(Last) (First) (Middle)
c/o Chase Capital Partners
1221 Avenue of the Americas-40th Floor
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(Street)
New York New York 10020
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(City) (State) (Zip)
Patina Oil & Gas Corporation ("POG")
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2. Issuer Name and Ticker or Trading Symbol
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
May 2000
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4. Statement for Month/Year
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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7. Individual or Joint/Group Filing (Check applicable line)
[X] Form filed by one Reporting Person
[_] Form filed by more than one Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock N/A N/A N/A N/A N/A N/A 86,726 I By CVCA,
LLC
(FNs 1,3)
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</TABLE>
* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
(Over)
(Form 4-07/99)
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
10.
9. Owner-
Number ship
of Form
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Convertible Common PIK
Preferred $2.6316 N/A N/A Immed Stock 276,023(FN 2) 276,023 D
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Non-Qualified Immed Common
Stock Option $2.9375 N/A N/A N/A (FN 3) 2/18/04 Stock 5,000 N/A 5,000 D(FN 3)
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10,000 I (FN 1)
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Non-Qualified Immed Common
Stock Option $5.1250 N/A N/A N/A (FN 3) 5/29/04 Stock 5,000 N/A 10,000 D(FN 3)
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10,000 I (FN 1)
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Non-Qualified Immed Common
Stock Option $17.4375 5/25/00 A (FN 3) 5/25/05 Stock 5,000 N/A 5,000 D(FN 3)
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</TABLE>
Explanation of Responses:
(1) The amounts shown in Tables I and II represent the beneficial ownership
of the Issuer's equity securities by Chase Venture Capital Associates, LLC
("CVCA, LLC"), a portion of which may be attributable to the reporting
person because the reporting person is a general partner of Chase Capital
Partners ("CCP"), which is the manager, by delegation, of CVCA, LLC.
The actual pro rata portion of such beneficial ownership that may be
deemed to be attributable to the reporting person is not readily
determinable because it is subject to several variables, including
CVCA, LLC's internal rate of return and vesting. The reporting person
disclaims beneficial ownership to the extent it exceeds his pecuniary
interest.
(2) Dividends on Convertible Preferred Stock were payable in kind through
October 21, 1999.
(3) Stock option grant for non-employee directors issued pursuant to the 1996
Patina Non-Employee Stock Option Plan. Exercisable as follows: 30% on
first anniversary date of transaction, 30% on second anniversary date of
transaction, and 40% on third anniversary. Christopher Behrens, a general
partner of CCP, is obligated to exercise each of the options upon the
request of CVCA, LLC and to transfer all shares received upon such
exercise and any shares awarded as director's compensation to CVCA, LLC.
/s/ Christopher C. Behrens 6/9/00
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Christopher C. Behrens Date
** 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 provided is insufficient, see Instruction 6 for procedure.
