0001140361-21-011375.txt : 20210402 0001140361-21-011375.hdr.sgml : 20210402 20210402123447 ACCESSION NUMBER: 0001140361-21-011375 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210401 FILED AS OF DATE: 20210402 DATE AS OF CHANGE: 20210402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Riley Kevin CENTRAL INDEX KEY: 0001756043 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 21801183 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 4 1 form4.xml FORM 4 X0306 4 2021-04-01 0001001614 Riley Exploration Permian, Inc. REPX 0001756043 Riley Kevin C/O RILEY EXPLORATION PERMIAN, INC. 29 EAST RENO, SUITE 500 OKLAHOMA CITY OK 73104 true PRESIDENT Common Stock, par value $0.001 per share 2021-04-01 4 A 0 43151 0 A 167164 D These shares of common stock were acquired under Issuer's Riley Exploration Permian, Inc. 2021 Long Term Incentive Plan (the "LTIP") on April 1, 2021. This amount includes 46,879 shares of restricted common stock acquired under the LTIP and subject to vesting and other restrictions as reported in previous filings. /s/ Kevin Riley 2021-04-01