4: Statement of changes in beneficial ownership of securities
Published on July 26, 2002
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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 this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
(Print or Type reponses)
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1. Name and Address of Reporting Person*
Long T. Michael
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(Last) (First) (Middle)
c/o Brown Brothers Harriman & Co., 59 Wall Street
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(Street)
New York New York 10021
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Vaalco Energy, Inc. (VEIX)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
June 2002
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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 [X] 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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* 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.
POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF
INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND
UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB NUMBER.
(Over)
SEC 1474 (3-99)
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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Explanation of Responses:
(1) $0.50, subject to adjustment in certain circumstances.
(2) 7,500,000 shares of Common Stock; subject to adjustment in certain
circumstances.
(3) The Warrants were issued in consideration for Fund II's making a loan to
the issuer of up to $10MM pursuant to the Subordinated Credit Agreement,
dated as of June 10, 2002, by and between issuer and Fund II.
(4) Subject to adjustment (to 0) in certain circumstances.
(5) 7,500,000 Shares of Common Stock, subject to adjustment in certain
circumstances.
(6) The Clawback Warrants were issued in consideration for Fund II's making a
loan to the issuer of up to $10MM pursuant to the Subordinated Credit
Agreement, dated as of June 10, 2002, by and between issuer and Fund II.
(7) By the 1818 Fund II, L.P. ("Fund II"). Long is a general partner of Brown
Brothers Harriman & Co. ("BBH"), the general partner of Fund II, and, as
such, his pecuniary interest in the securities is limited to his percentage
interest in BBH's interest in such securities.
By: /s/ T. Michael Long July 26, 2002
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**Signature of Reporting Person Date
Name: T. Michael Long
**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.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB number.
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