Gene Scammahorn Form 5 ZION OIL & GAS / Gene Scammahorn ownership change

SEC Form 5

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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).

Form 3 Holdings Reported.

Form 4 Transactions Reported.

1. Name and Address of Reporting Person^*

Scammahorn Gene

(Last)

(First)

(Middle)

12655 NORTH CENTRAL EXPRESSWAY

SUITE 1000

(Street)

DALLAS

75243

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
ZION OIL & GAS INC [ ZN ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2019

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 at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
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)	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
ZN Common Stock, Par Value $0.01	01/28/2019	01/28/2019	P	102.041	A	$0.49	3,231.112⁽¹⁾	D
ZN Common Stock, Par Value $0.01	02/26/2019	02/26/2019	P	101.523	A	$0.4925	3,332.635	D
ZN Common Stock, Par Value $0.01	03/26/2019	03/26/2019	P	66.225	A	$0.755	3,398.86	D
ZN Common Stock, Par Value $0.01	04/26/2019	04/26/2019	P	67.843	A	$0.737	3,466.703	D
ZN Common Stock, Par Value $0.01	05/28/2019	05/28/2019	P	131.752	A	$0.3795	3,598.455	D
ZN Common Stock, Par Value $0.01	06/26/2019	06/26/2019	P	135.135	A	$0.37	3,733.59	D
ZN Common Stock, Par Value $0.01	07/26/2019	07/26/2019	P	149.254	A	$0.335	3,882.844	D
ZN Common Stock, Par Value $0.01	08/26/2019	08/26/2019	P	148.148	A	$0.3375	4,030.992	D
ZN Common Stock, Par Value $0.01	09/26/2019	09/26/2019	P	184.98	A	$0.2703	4,215.972	D
ZN Common Stock, Par Value $0.01	10/28/2019	10/28/2019	P	234.962	A	$0.2128	4,450.934	D
ZN Common Stock, Par Value $0.01	11/26/2019	11/26/2019	P	275.938	A	$0.1812	4,726.872	D
ZN Common Stock, Par Value $0.01	12/26/2019	12/26/2019	P	279.642	A	$0.1788	10,006.514⁽²⁾	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)
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)	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)

Explanation of Responses:

1. This owned amount includes 1,000 shares owned in another account and an immaterial adjustment from rounding issuance of shares

2. Form 4 reported for exercise of 5,000 options to ZN common stock on Dec. 16, 2019

	Michael Mosley	01/16/2020
	** 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.

Gene Scammahorn Form 5ZION OIL & GAS / Gene Scammahorn ownership change