0001140361-21-006786.txt : 20210301 0001140361-21-006786.hdr.sgml : 20210301 20210301214841 ACCESSION NUMBER: 0001140361-21-006786 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210226 FILED AS OF DATE: 20210301 DATE AS OF CHANGE: 20210301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Riley Bobby CENTRAL INDEX KEY: 0001756030 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 21701105 MAIL ADDRESS: STREET 1: 29 EAST RENO STREET 2: SUITE 500 CITY: OKLAHOMA CITY STATE: OK ZIP: 73104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Riley Exploration Permian, Inc. CENTRAL INDEX KEY: 0001001614 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 870267438 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 29 E. RENO AVENUE STREET 2: SUITE 500 CITY: OKLAHOMA CITY STATE: OK ZIP: 73104 BUSINESS PHONE: 405-415-8699 MAIL ADDRESS: STREET 1: 29 E. RENO AVENUE STREET 2: SUITE 500 CITY: OKLAHOMA CITY STATE: OK ZIP: 73104 FORMER COMPANY: FORMER CONFORMED NAME: TENGASCO INC DATE OF NAME CHANGE: 19960612 3 1 form3.xml FORM 3 X0206 3 2021-02-26 0 0001001614 Riley Exploration Permian, Inc. REPX 0001756030 Riley Bobby C/O RILEY EXPLORATION PERMIAN, INC. 29 EAST RENO, SUITE 500 OKLAHOMA CITY OK 73104 true true CHIEF EXECUTIVE OFFICER Common Stock, par value $0.001 per share 137247 D Restricted Common Stock, par value $0.001 per share 85699 D In connection with the closing of the transactions contemplated by the Agreement and Plan of Merger, dated as of October 21, 2020, by and among Tengasco, Inc. ("TGC"), Antman Sub, LLC, a wholly-owned subsidiary of TGC ("Merger Sub"), and Riley Exploration - Permian, LLC ("REP"), as amended by Amendment No. 1 to Agreement and Plan of Merger, dated as of January 20, 2021, pursuant to which Merger Sub merged with and into REP with REP continuing as the surviving entity in the merger (the "Merger") and a wholly-owned subsidiary of TGC (which changed its name to "Riley Exploration Permian, Inc.", the "Issuer"), these shares were received in exchange for common units of REP. These shares of restricted stock were acquired under Issuer's Riley Exploration Permian, Inc. 2021 Long Term Incentive Plan. Subject to certain contingencies and provisions allowing for accelerated vesting in certain instances, the shares of restricted stock vest as follows: 17,479 shares of the restricted stock vest on 10/1/2021; 22,187 shares of the restricted stock vest on 2/1/2022; 17,479 shares of the restricted stock vest on 10/1/2022; 11,075 shares of the restricted stock vest on 2/1/2023; and 17,479 shares of the restricted stock vest on 10/1/2023. The share amounts of the Issuer's common stock reflect the 1-for-12 reverse stock split of the Issuer's common stock effected on February 26, 2021 immediately prior to the completion of the Merger. /s/ Bobby D. Riley 2021-03-01