0001140361-21-006952.txt : 20210302 0001140361-21-006952.hdr.sgml : 20210302 20210302172559 ACCESSION NUMBER: 0001140361-21-006952 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arriaga Brent Alexander CENTRAL INDEX KEY: 0001848500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 21705320 MAIL ADDRESS: STREET 1: 12330 BROKEN BOUGH DR CITY: HOUSTON STATE: TX ZIP: 77024 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 4 1 form4.xml FORM 4 X0306 4 2021-03-01 0001001614 Riley Exploration Permian, Inc. REPX 0001848500 Arriaga Brent Alexander C/O RILEY EXPLORATION PERMIAN, INC. 29 EAST RENO, SUITE 500 OKLAHOMA CITY OK 73104 true Restricted Common Stock, par value $0.001 per share 2021-03-01 4 A 0 1687 0 A 1687 D These shares of restricted stock were acquired under Issuer's Riley Exploration Permian, Inc. 2021 Long Term Incentive Plan on March 1, 2021 (the "Grant Date"). The shares of restricted stock vest on the first anniversary of the Grant Date. The share amount of the Issuer's restricted common stock reflects the 1-for-12 reverse stock split of the Issuer's common stock effected on February 26, 2021. /s/ Brent Arriaga 2021-03-02