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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act
||December 31, 2014
|Estimated average burden|
|hours per response:
1. Name and Address of Reporting Person
|1001 FANNIN STREET SUITE 1500|
2. Date of Event Requiring Statement
3. Issuer Name
Ticker or Trading Symbol
Chord Energy Corp
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
5. If Amendment, Date of Original Filed
6. Individual or Joint/Group Filing (Check
||Form filed by One Reporting Person
||Form filed by More than One Reporting
|Table I - Non-Derivative Securities Beneficially Owned|
|1. Title of Security (Instr.
Amount of Securities Beneficially Owned (Instr.
||3. Ownership Form: Direct (D) or Indirect (I) (Instr.
||4. Nature of Indirect Beneficial Ownership (Instr.
Table II - Derivative Securities Beneficially Owned|
(e.g., puts, calls, warrants, options, convertible securities)
|1. Title of Derivative Security (Instr.
||2. Date Exercisable and Expiration Date
||3. Title and Amount of Securities Underlying Derivative Security (Instr.
||4. Conversion or Exercise Price of Derivative Security
||5. Ownership Form: Direct (D) or Indirect (I) (Instr.
||6. Nature of Indirect Beneficial Ownership (Instr.
||Amount or Number of Shares
|Explanation of Responses:|
|Exhibit List: Exhibit 24 - Power of Attorney|
||/s/ M. Scott Regan, Attorney-in-Fact for Anne Taylor
||** Signature of Reporting Person
|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,
|** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
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,
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.|
POWER OF ATTORNEY
FOR EXECUTING FORMS 3, FORMS 4 AND FORMS 5,
FORM 144 AND SCHEDULE 13D AND SCHEDULE 13G
The undersigned hereby constitutes and appoints M. Scott Regan and Michael H.
Lou of Chord Energy Corporation ("Chord"), or any of them acting without the
other, with full power of substitution, as the undersigned's true and lawful
(1) Execute for an on behalf of the undersigned a Form ID
(including amendments thereto), or any other forms prescribed by
the Securities and Exchange Commission, that may be necessary to
obtain codes and passwords enabling the undersigned to make
electronic filings with the Securities and Exchange Commission of
the forms referenced in clause (2) below;
(2) Execute for and on behalf of the undersigned any (a) Form
3, Form 4 and Form 5 (including amendments thereto) in accordance
with Section 16(a) of the Securities Exchange Act of 1934, as
amended (the "Exchange Act"), (b) Form 144 (including amendments
thereto) and (c) Schedule 13D and Schedule 13G (including
amendments thereto) in accordance with Sections 13(d) and 13(g)
of the Exchange Act, but only to the extent each form or schedule
relates to the undersigned's beneficial ownership of securities
of Chord or any of its subsidiaries;
(3) Do and perform any and all acts for and on behalf of the
undersigned that may be necessary or desirable to complete and
execute any Form ID, Form 3, Form 4, Form 5, Form 144, Schedule
13D or Schedule 13G (including amendments thereto) and timely
file the forms or schedules with the Securities and Exchange
Commission and any stock exchange or quotation system, self-
regulatory association or any other authority, and provide a copy
as required by law or advisable to such persons as the attorney-
in-fact deems appropriate; and
(4) Take any other action in connection with the foregoing
that, in the opinion of the attorney-in-fact, may be of benefit
to, in the best interest of or legally required of the
undersigned, it being understood that the documents executed by
the attorney-in-fact on behalf of the undersigned pursuant to
this Power of Attorney shall be in the form and shall contain the
terms and conditions as the attorney-in-fact may approve in the
The undersigned hereby grants to the attorney-in-fact full power and authority
to do and perform all and every act requisite, necessary or proper to be done
in the exercise of any of the rights and powers granted herein, as fully to all
intents and purposes as the undersigned might or could do if personally
present, with full power of substitution or revocation, hereby ratifying and
confirming all that the attorney-in-fact shall lawfully do or cause to be done
by virtue of this Power of Attorney and the rights and powers granted herein.
The undersigned acknowledges that the attorney-in-fact, in serving in such
capacity at the request of the undersigned, are not assuming (nor is Chord
assuming) any of the undersigned's responsibilities to comply with Section 16
of the Exchange Act.
The undersigned agrees that the attorney-in-fact may rely entirely on
information furnished orally or in writing by or at the direction of the
undersigned to the attorney-in-fact. The undersigned also agrees to indemnify
and hold harmless Chord and the attorney-in-fact against any losses, claims,
damages or liabilities (or actions in these respects) that arise out of or are
based upon any untrue statements or omissions of necessary facts in the
information provided by or at the direction of the undersigned, or upon the
lack of timeliness in the delivery of information by or at the direction of the
undersigned, to the attorney-in fact for purposes of executing, acknowledging,
delivering or filing a Form ID, Form 3, Form 4, Form 5, Form 144, Schedule 13D
or Schedule 13G (including amendments thereto) and agrees to reimburse Chord
and each of its affiliates and the attorney-in-fact on demand for any legal or
other expenses reasonably incurred in connection with investigating or
defending against any such loss, claim, damage, liability or action.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Form ID, Form 3, Form 4, Form 5, Form
144, Schedule 13D and Schedule 13G (including amendments thereto) with respect
to the undersigned's holdings of and transactions in securities issued by
Chord, unless earlier revoked by the undersigned in a signed writing delivered
to the attorney-in-fact. This Power of Attorney does not revoke any other power
of attorney that the undersigned has previously granted.
[Signature Page Follows]
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date written below.
/s/ Anne Taylor
Type or Print Name