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
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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*
Boaz Energy II, LLC

(Last) (First) (Middle)
3300 N. A STREET BLDG. 7 #150

(Street)
MIDLAND TX 79705

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PermRock Royalty Trust [ PRT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
02/01/2019
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
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
Trust Units representing Beneficial Interests 02/01/2019 J(1) 37,400 D (1) 5,878,332 D(2)
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*
Boaz Energy II, LLC

(Last) (First) (Middle)
3300 N. A STREET BLDG. 7 #150

(Street)
MIDLAND TX 79705

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
NGP X US Holdings LP

(Last) (First) (Middle)
5221 N. O'CONNOR BOULEVARD
SUITE 1100

(Street)
IRVING TX 75039

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
NGP Boaz Energy II Co-Invest LLC

(Last) (First) (Middle)
5221 N. O'CONNOR BOULEVARD
SUITE 1100

(Street)
IRVING TX 75039

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. On February 1, 2019, Boaz Energy II, LLC, a Delaware limited liability company ("Boaz Energy") granted Trust Units representing beneficial interests in the Issuer ("Trust Units") to certain employees of Boaz Energy pursuant to individual Trust Unit Agreements entered into between Boaz Energy and such employees. No consideration was paid to Boaz Energy in respect of such grants.
2. Boaz Energy directly owns the Trust Units. All other reporting persons' ownership is indirect through Boaz Energy.
/s/ Boaz Energy II, LLC By: Marshall Eves, Chief Executive Officer 02/01/2019
/s/ NGP X US Holdings, L.P. By:NGP X Holdings GP, L.L.C., its general partner By: Tony R. Weber, Authorized Person 02/01/2019
/s/ NGP Boaz Energy II Co-Invest LLC By: G.F.W. Energy X, L.P., its managing member By: GFW X, L.L.C., its general partner By: Tony R. Weber, Authorized Person 02/01/2019
** 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 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.
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