- Annual Report (foreign private issuer) (40-F)

 

 

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U.S. SECURITIES AND EXCHANGE COMMISSION

 

Washington, D.C. 20549

 

FORM 40-F

 

REGISTRATION STATEMENT PURSUANT TO SECTION 12 OF THE SECURITIES EXCHANGE ACT OF 1934

X	ANNUAL REPORT PURSUANT TO SECTION 13(a) OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2011			Commission File Number 000-32115
EQUAL ENERGY LTD. (Exact name of Registrant as specified in its charter)
Alberta, Canada (Province or other jurisdiction of incorporation or organization)	1311 (Primary Standard Industrial Classification Code Number (if applicable))				N/A (I.R.S. Employer Identification Number (if applicable))
Suite 2700, 500 – 4 th Avenue S.W. Calgary, Alberta, Canada T2P 2V6 [phone] (Address and telephone number of Registrant’s principal executive offices)
CT Corporation System 2610, 520 Pike Street Seattle, Washington 98101 [phone] (Name, address (including zip code) and telephone number (including area code) of agent for service in the United States)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class				Name of each exchange on which registered
Common Shares				New York Stock Exchange
Securities registered or to be registered pursuant to Section 12(g) of the Act: None
Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act: None

 

For annual reports, indicate by check mark the information filed with this Form:

 

X Annual information form                                                                X Audited annual financial statements

 

Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the annual report.

 

There were 34,779,435 common shares issued and outstanding as of December 31, 2011.

 

Indicate by check mark whether the Registrant (1) has filed all reports to be filed by Section 13 or 15(d) of the Exchange Act during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports) and (2) has been subject to filing requirements for the past 90 days.

 

X  Yes                                         No

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit and post such files).

 

      Yes                                    No

 

 

 

DOCUMENTS FILED AS PART OF THIS ANNUAL REPORT

 

The following documents have been filed as part of this Annual Report on Form 40-F:

 

Exhibit 99.1 - Annual Information Form for the fiscal year ended December 31, 2011;

 

Exhibit 99.2 - Management’s Discussion and Analysis for the fiscal year ended December 31, 2011; and

 

Exhibit 99.3 - Audited Annual Financial Statements for the fiscal year ended December 31, 2011.

 

 

 

 

 

 

[Missing Graphic Reference]

 

 

CERTIFICATIONS AND DISCLOSURE REGARDING CONTROLS AND PROCEDURES

 

Certifications . See Exhibits 99.4, 99.5, 99.6 and 99.7.

 

Disclosure Controls and Procedures . The required disclosure is included in the section entitled “Disclosure Controls and Procedures” contained in the Registrant’s Management’s Discussion and Analysis for the fiscal year ended December 31, 2011, see Exhibit 99.2.

 

Management’s Annual Report on Internal Control Over Financial Reporting . The required disclosure is included in the section entitled “Internal Control Over Financial Reporting” contained in the Registrant’s Management’s Discussion and Analysis for the fiscal year ended December 31, 2011, see Exhibit 99.2.

 

Attestation Report of the Registered Public Accounting Firm . The required disclosure is included in the “Auditors’ Report” that accompanies the Registrant’s Audited Financial Statements for the fiscal year ended December 31, 2011.

 

Changes in Internal Control Over Financial Reporting . During the fiscal year ended December 31, 2011, there were no changes in the Registrant’s internal control over financial reporting that have materially affected, or are reasonably likely to materially affect, the Registrant’s internal control over financial reporting.

 

 

NOTICES PURSUANT TO REGULATION BTR

 

 

None.

 

 

IDENTIFICATION OF THE AUDIT COMMITTEE

 

The Board has a separately-designated standing audit committee. The members of the audit committee are:  Victor Dusik, Robert Wilkinson and Michael Doyle.

 

 

AUDIT COMMITTEE FINANCIAL EXPERT

 

The Board of Directors of Equal (the “Board”) has determined that it has at least one audit committee financial expert serving on its Audit Committee.  Mr. Victor Dusik has been designated an audit committee financial expert and is independent, as that term is defined by the New York Stock Exchange’s listing standards applicable to Equal.  The Securities and Exchange Commission has indicated that the designation of a person as an audit committee financial expert does not make that person an “expert” for any purpose, impose any duties, obligations or liability on that person that are greater than those imposed on members of an audit committee and board of directors who do not carry this designation or affect the duties, obligations or liability of any other member of the audit committee.

 

 

ADDITIONAL DISCLOSURE

 

 

Certain disclosure regarding the corporate governance practices and code of ethics of the Registrant can be found at the Registrant’s website www.equalenergy.ca under Corporate Governance.  Disclosures regarding the Registrant’s principal accountant fees and services, pre-approval policies and procedures are included in Exhibit 99.1 Annual Information Form.  Disclosure regarding the Registrant’s contractual obligations is included in Exhibit 99.2 Management’s Discussion and Analysis.  The Registrant has no off-balance sheet arrangement that have or reasonably likely to have a current or future effect on the Registrant’s financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

UNDERTAKING

 

 

Registrant undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to: the securities registered pursuant to Form 40-F; the securities in relation to which the obligation to file an annual report on Form 40-F arises; or transactions in said securities.

 

 

CONSENT TO SERVICE OF PROCESS

 

 

Form F-X signed by the Registrant and its agent for service of process has been filed with the Commission in connection with its securities registered on such form.  Any changes to the name or address of the agent for service of process of the Registrant shall be communicated promptly to the Commission by an amendment to the Form F-X referencing the file number of the Registrant.

 

 

SIGNATURES

 

Pursuant to the requirements of the Exchange Act, Equal certifies that it meets all of the requirements for filing on Form 40-F and has duly caused this to annual report on Form 40-F to be signed on its behalf by the undersigned, thereunto duly authorized.

 

Dated:  March 21, 2012

 

Equal Energy Ltd.

Signed “Don Klapko”

Don Klapko, President and CEO

Signed “Wendell Chapman”

Wendell Chapman, Senior Vice President, Finance and Chief Financial Officer

 

 

 

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EXHIBIT INDEX

 

 The following documents have been filed as part of this annual report on Form 40-F:

 

Exhibit No.	Description
Annual Information
99.1	Equal Energy Ltd. Annual Information Form for the year ended December 31, 2011.
99.2	Management’s Discussion and Analysis for year ended December 31, 2011.
99.3	Audited Consolidated Financial Statements of Equal Energy Ltd., including Management’s Report, the Auditors’ Reports.
Certifications
99.4	Certification of the Chief Executive Officer pursuant to section 906 of the Sarbanes-Oxley Act of 2002
99.5	Certification of the Chief Financial Officer pursuant to section 906 of the Sarbanes-Oxley Act of 2002
99.6	Certification of the Chief Executive Officer pursuant to section 302 of the Sarbanes-Oxley Act of 2002
99.7	Certification of the Chief Financial Officer pursuant to section 302 of the Sarbanes-Oxley Act of 2002
Consents
99.8	Consent of KPMG LLP Chartered Accountants
99.9	Consent of McDaniel & Associates Consultants Ltd.
99.10	Consent of Haas Petroleum Engineering Services, Inc.

 

 

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