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