U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3/A
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
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1. Name and Address of Reporting Person*
Salas Peter E.
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(Last) (First) (Middle)
129 East 17th Street
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(Street)
New York NY 10003
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
9/19/2002
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
TENGASCO INC. (TGC)
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5. 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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6. If Amendment, Date of Original (Month/Day/Year)
9/6/2002
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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 Beneficially Owned
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1. Title of Security 2. Amount of Securities 3. Ownership Form:
Beneficially Owned
Direct (D) or
Indirect (I)
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Common Stock 1,739,720 I
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* If the Form is filed by more than one Reporting Person, see Instruction
5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
(Form 3-07/98)
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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4. Ownership
Form of
1. Title of 2. Title and Amount of 3. Conversion Derivative
Derivative Securities Underlying Price of Security
Security Derivative Security Derivative Direct (D)
Security or
Common Shares Indirect(I)
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Common Stock Purchase Warrants 10,500 7.98 I
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Convertible Preferred 105,000 7.98 I
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Option* 357,910 2.315 I
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*Option exercisable from 2/14/03 to 3/16/03 granted to Industrial Resources
Corporation ("IRC"), sole shareholder and President of which is Malcolm E.
Ratliff, a Director and CEO of the Company. If the option is not exercised, IRC
may be required by Dolphin to purchase the same number of shares as had been
subject to the option at a price of $2.421 per share.
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Explanation of Responses:
This amended form 3 is being filed by Peter E. Salas as General Partner
of Dolphin Offshore Partners, L.P. which purchased the above securities with its
working capital in a series of transactions as outlined in earlier 13D and 13D/A
filings. This amendment is made to reflect the confirmation of Peter E. Salas
as a Director of Tengasco Inc.
/s/ Peter E. Salas 9/23/2002
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*Signature of Reporting Person Date
* Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).