SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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 |
| |||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Riley Exploration Permian, Inc. [ REPX ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
3. Date of Earliest Transaction (Month/Day/Year) 10/13/2021 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
|
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 Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, par value $0.001 per share | 10/13/2021 | J(1) | 800,771 | D | (1) | 3,485,779 | D(2) | |||
Common Stock, par value $0.001 per share | 10/13/2021 | J(1) | 100,482 | A | (1) | 100,482 | D(3) | |||
Common Stock, par value $0.001 per share | 10/13/2021 | J(1) | 615,784 | A | (1) | 615,784 | D(4) | |||
Common Stock, par value $0.001 per share | 10/13/2021 | J(1) | 84,505 | A | (1) | 84,505 | D(5) | |||
Common Stock, par value $0.001 per share | 390,860 | D(6) |
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) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
Explanation of Responses: |
1. On October 13, 2021, Riley Exploration Group, LLC ("REG") entered into Redemption Agreements with each of Yorktown Energy Partners IV, L.P. ("Yorktown IV"), Yorktown Energy Partners V, L.P. ("Yorktown V") and Yorktown Energy Partners VI, L.P. ("Yorktown VI"), pursuant to which REG redeemed all of its membership units held by each of Yorktown IV, Yorktown V and Yorktown VI in exchange for shares of common stock, par value $0.001 per share, of Riley Exploration Permian, Inc. (the "Common Stock"). Yorktown IV, Yorktown V and Yorktown VI each received approximately 0.704 shares of Common Stock for each REG membership unit that was redeemed. |
2. Shares owned directly by REG. Yorktown Energy Partners VII, L.P. ("Yorktown VII"), Yorktown Energy Partners VIII, L.P. ("Yorktown VIII"), Yorktown Energy Partners IX, L.P. ("Yorktown IX") and Yorktown Energy Partners X, L.P. ("Yorktown X") collectively own approximately 98.93% of REG. Yorktown VII Associates LLC is the sole general partner of Yorktown VII Company LP, the sole general partner of Yorktown VII. Yorktown VIII Associates LLC is the sole general partner of Yorktown VIII Company LP, the sole general partner of Yorktown VIII. Yorktown IX Associates LLC is the sole general partner of Yorktown IX Company LP, the sole general partner of Yorktown IX. Yorktown X Associates LLC is the sole general partner of Yorktown X Company LP, the sole general partner of Yorktown X. |
3. Shares owned directly by Yorktown IV. Yorktown IV Company LLC is the sole general partner of Yorktown IV. |
4. Shares owned directly by Yorktown V. Yorktown V Company LLC is the sole general partner of Yorktown V. |
5. Shares owned directly by Yorktown VI. Yorktown VI Associates LLC is the sole general partner of Yorktown VI Company LP, the sole general partner of Yorktown VI. |
6. Shares owned directly by Yorktown X. Yorktown X Associates LLC is the sole general partner of Yorktown X Company LP, the sole general partner of Yorktown X. |
Remarks: |
This Form 4 is the first of two filings by Riley Exploration Group, LLC. Yorktown VIII Associates LLC, Yorktown Energy Partners IX, L.P., Yorktown IX Associates LLC, Yorktown Energy Partners X, L.P., and Yorktown X Associates LLC (the "Other Filers") are also reporting persons. Since the SEC's filing system will not accept CIK and CCC codes from more than ten joint filers of a report, the Other Filers have filed a separate Form 4 that relates to the same securities reported herein. Thus, in total, there are 15 joint filers: the Other Filers and each person that is a signatory to this Form 4. |
Riley Exploration Group, LLC /s/ Bryan H. Lawrence, Manager Yorktown Energy Partners IV, L.P., By: Yorktown IV Company LLC, its general partner | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown IV Company LLC | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown Energy Partners V, L.P., By: Yorktown V Company LLC, its general partner | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown V Company LLC | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown Energy Partners VI, L.P., By: Yorktown VI Company LP, its general partner, By: Yorktown VI Associates LLC, its general partner, | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown VI Associates LLC | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown Energy Partners VII, L.P., By: Yorktown VII Company LP, its general partner, By: Yorktown VII Associates LLC, its general partner, | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown VII Associates LLC | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member Yorktown Energy Partners VIII, L.P., By: Yorktown VIII Company LP, its general partner, By: Yorktown VIII Associates LLC, its general partner, | 10/15/2021 | |
/s/ Bryan H. Lawrence, Managing Member | 10/15/2021 | |
** 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. |