SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF 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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 04/17/2019 | 3. Issuer Name and Ticker or Trading Symbol Brigham Minerals, Inc. [ MNRL ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A common stock | 0 | D(1)(2)(3)(4)(5)(6) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. This Form 3 is filed on behalf of certain affiliates of Warburg Pincus & Company US, LLC ("Warburg Pincus US"), including: Warburg Pincus Private Equity (E&P) XI-A (Brigham), LLC, a Delaware limited liability company ("WPPE E&P XI-A Brigham"), Warburg Pincus XI (E&P) Partners-A (Brigham), LLC, a Delaware limited liability company ("WP XI E&P Partners-A Brigham"), Warburg Pincus Private Equity (E&P) XI (Brigham), LLC, a Delaware limited liability company ("WPPE E&P XI Brigham"), Warburg Pincus XI (E&P) Partners-B (Brigham), LLC, a Delaware limited liability company ("WP XI E&P Partners-B Brigham"), WP Brigham Holdings, L.P., a Delaware limited partnership ("WP Brigham Holdings"), Warburg Pincus Energy (E&P)-A (Brigham), LLC, a Delaware limited liability company ("WPE E&P-A Brigham"), Warburg Pincus Energy (E&P) Partners-A (Brigham), LLC, a Delaware limited liability company ("WPE E&P Partners-A Brigham"), |
2. (Continued from footnote 1) Warburg Pincus Energy (E&P) (Brigham), LLC, a Delaware limited liability company ("WPE E&P Brigham"), Warburg Pincus Energy (E&P) Partners-B (Brigham), LLC, a Delaware limited liability company ("WPE E&P Partners-B Brigham"), WP Energy Partners (E&P) (Brigham), LLC, a Delaware limited liability company ("WPE Partners E&P Brigham"), WP Energy Brigham Holdings, L.P., a Delaware limited partnership ("WPE Brigham Holdings"), and WP Energy Partners Brigham Holdings, L.P., a Delaware limited partnership ("WPE Partners Brigham Holdings"). Warburg Pincus Private Equity (E&P) XI-A, L.P., a Delaware limited partnership ("WPPE E&P XI-A"), is the sole member of WPPE E&P XI-A Brigham. Warburg Pincus XI (E&P) Partners - A, L.P., a Delaware limited partnership ("WP XI E&P Partners-A"), is the sole member of WP XI E&P Partners-A Brigham. Warburg Pincus Energy (E&P)-A, L.P., a Delaware limited partnership ("WPE E&P-A"), is the sole and managing member of WPE E&P-A Brigham. |
3. (Continued from footnote 2) Warburg Pincus Energy (E&P) Partners-A, L.P., a Delaware limited partnership ("WPE E&P Partners-A"), is the sole and managing member of WPE E&P Partners-A Brigham. Warburg Pincus Private Equity (E&P) XI - B, L.P., a Delaware limited partnership, is the managing member of WPPE E&P XI Brigham. Warburg Pincus XI (E&P) Partners - B, L.P., a Delaware limited partnership, is the sole member of WP XI E&P Partners-B Brigham. Warburg Pincus Energy (E&P)-B, L.P., a Delaware limited partnership, is the managing member WPE E&P Brigham. Warburg Pincus Energy (E&P) Partners-B, L.P., a Delaware limited partnership, is the managing member of WPE E&P Partners-B Brigham. WP Energy Partners, L.P., a Delaware limited partnership, is the managing member of WPE Partners E&P Brigham. |
4. (Continued from footnote 3) Warburg Pincus (E&P) XI, L.P., a Delaware limited partnership ("WP XI E&P GP"), is the (i) general partner of each of WP Brigham Holdings, WPPE E&P XI-A, WP XI E&P Partners-A and Brigham Parent Holdings. Warburg Pincus (E&P) XI LLC, a Delaware limited liability company ("WP XI E&P LLC"), is the general partner of WP XI E&P GP. Warburg Pincus Partners (E&P) XI LLC, a Delaware limited liability company ("WP Partners E&P XI LLC"), is the sole member of WP XI E&P LLC. Warburg Pincus Partners II (US), L.P., a Delaware limited partnership ("WPP II US"), is the managing member of WP Partners E&P XI LLC. Warburg Pincus US is the general partner of WPP II US. Warburg Pincus (E&P) Energy GP, L.P., a Delaware limited partnership ("WPE E&P GP"), is the general partner of each of WPE Brigham Holdings, WPE Partners Brigham Holdings, WPE E&P-A, WP Energy Partners, L.P. and WPE E&P Partners-A. |
5. (Continued from footnote 4) WP Global LLC, a Delaware limited liability company ("WP Global"), is the general partner of WPE E&P GP. Warburg Pincus Partners II, L.P., a Delaware limited partnership, is the managing member of WP Global. Warburg Pincus Partners GP LLC, a Delaware limited liability company, is the general partner of Warburg Pincus Partners II, L.P. Warburg Pincus & Co., a Delaware corporation, is the managing member of Warburg Pincus Partners GP LLC. |
6. Continued from footnote 5) Warburg Pincus (E&P) Energy LLC, a Delaware limited liability company ("WPE E&P LLC," and together with WP XI E&P GP, WP XI E&P LLC, WP Partners E&P XI LLC, WPE E&P GP, WPP II US and Warburg Pincus US, the "Warburg Pincus GP Entities"), is the general partner of WPE E&P GP. WPP II US is the managing member of WPE E&P LLC. As noted above, Warburg Pincus US is the general partner of WPP II US. Warburg Pincus LLC, a New York limited liability company ("Warburg Pincus") is the manager of each of WP Brigham Holdings, WPPE E&P XI-A, WP XI E&P Partners-A, WPE Brigham Holdings, WPE Partners Brigham Holdings, WPE E&P-A and WPE E&P Partners-A. Charles R. Kaye and Joseph P. Landy are the Managing Members of Warburg Pincus US and the Managing Members and Co-Chief Executive Officers of Warburg Pincus and, as such, may be deemed to control each of the foregoing entities. |
Remarks: |
Each of the foregoing entities is a director-by-deputization solely for purposes of Section 16 of the Exchange Act. Exhibit List: Exhibit 99.1 - Joint Filer Information Exhibit 99.2 - Joint Filers' Signatures This report is one of four reports, each on a separate Form 3, but relating to the same transaction being filed by entities affiliated with Warburg Pincus & Company US, LLC and their applicable members. |
/s/ Robert B. Knauss | 04/17/2019 | |
** 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 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). | ||
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. |