1. Name and Address of Reporting Person* C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) | 2. Issuer Name and Ticker or Trading Symbol Brigham Minerals, Inc. [ MNRL ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X | Director | | 10% Owner | | Officer (give title below) | | Other (specify below) | | |
3. Date of Earliest Transaction (Month/Day/Year) 06/21/2022 |
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person | |
1. Name and Address of Reporting Person* C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person*Pine Brook Capital Partners II, L.P. | C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person*Pine Brook PD Intermediate, L.P. | C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person*Pine Brook Road Associates II, L.P. | C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person*Pine Brook BXP Intermediate, L.P. | C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person*Pine Brook BXP II Intermediate, L.P. | C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person*Pine Brook Road Advisors, L.P. | C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
1. Name and Address of Reporting Person* C/O PINE BROOK ROAD PARTNERS, LLC | 60 EAST 42ND STREET, SUITE 3014 | (Street) |
| PBRA, LLC, By: /s/ Richard Aube, President | 06/23/2022 |
| Pine Brook Capital Partners II, L.P., By: Pine Brook Road Associates II, L.P., its General Partner, By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President | 06/23/2022 |
| Pine Brook PD Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President | 06/23/2022 |
| Pine Brook Road Associates II, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President | 06/23/2022 |
| Pine Brook BXP Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President | 06/23/2022 |
| Pine Brook BXP II Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President | 06/23/2022 |
| Pine Brook Road Advisors, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President | 06/23/2022 |
| /s/ Howard Newman | 06/23/2022 |
| ** 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. |