Empire Petroleum Corporation

04/28/2026 | Press release | Distributed by Public on 04/28/2026 13:31

Annual Statement of Changes in Beneficial Ownership (Form 5)

FORM 5
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
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person *
Mulacek Phil E
2. Issuer Name and Ticker or Trading Symbol
EMPIRE PETROLEUM CORP [EP]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
25025 I 45 NORTH , SUITE 420
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
2025-12-31
(Street)
THE WOODLANDS TX 77380
4. If Amendment, Date Original Filed (Month/Day/Year)
6. Individual or Join/Group Filing (Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code 4. Securities Acquired (A) or Disposed of (D) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) 6. Ownership Form: Direct (D) or Indirect (I) 7. Nature of Indirect Beneficial Ownership
Amount (A) or (D) Price
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 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 5. Number of Derivative Securities Acquired (A) or Disposed of (D) 6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security 8. Price of Derivative Security 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 11. Nature of Indirect Beneficial Ownership
(A) (D) Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Mulacek Phil E
25025 I 45 NORTH
SUITE 420
THE WOODLANDS, TX77380
X X

Signatures

/s/ Phil E. Mulacek 2026-04-28
**Signature of Reporting Person Date

Explanation of Responses:

(*) If the form is filed by more than one reporting person, see Instruction 5(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).
(1) Represents shares of the Issuer's common stock purchased by the reporting person following the exercise of subscription rights, including over-subscription rights, pursuant to the Issuer's rights offering to holders of common stock, as described in the Issuer's prospectus supplement dated July 10, 2025, as supplemented by the Issuer's prospectus supplements dated July 24, 2025, July 25, 2025 and August 19, 2025 (the "Rights Offering").
(2) Represents the exercise price of $0.07367 per unit in the Rights Offering. A stockholder needed to hold at least 72 shares of common stock to receive subscription rights to purchase at least one whole share of common stock at $5.30 per share, as well as at least 74 shares of common stock to receive warrants to purchase one whole share of common stock at $5.46 per share.
(3) Each holder of common stock of record as of July 10, 2025 received one right for each share of common stock, and each right carried with it a basic subscription right, which entitled the holder to purchase one unit, with each unit consisting of 0.0139 of a share of common stock and one warrant exercisable for 0.0136 of a share of common stock at $5.46 per whole share, and an over-subscription right, which entitled holders that exercised their basic subscription rights in full to subscribe for additional units that were not purchased by other stockholders pursuant to their basic subscription rights, subject to proration. Includes shares and warrants purchased pursuant to the exercise of over-subscription rights in connection with the Rights Offering.
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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