0001213900-21-013039.txt : 20210302 0001213900-21-013039.hdr.sgml : 20210302 20210302214642 ACCESSION NUMBER: 0001213900-21-013039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210226 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boomer Petroleum LLC CENTRAL INDEX KEY: 0001756074 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 21707015 BUSINESS ADDRESS: STREET 1: 3200 255 5TH AVE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 BUSINESS PHONE: 4032637650 MAIL ADDRESS: STREET 1: 3200 255 5TH AVE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Texel Resources Inc. CENTRAL INDEX KEY: 0001848746 STATE OF INCORPORATION: A0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 21707013 BUSINESS ADDRESS: STREET 1: 59 BELAIRE PLACE SW CITY: CALGARY STATE: A0 ZIP: T2V2C3 BUSINESS PHONE: 4035310080 MAIL ADDRESS: STREET 1: 59 BELAIRE PLACE SW CITY: CALGARY STATE: A0 ZIP: T2V2C3 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Balmon California, Inc. CENTRAL INDEX KEY: 0001848277 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 21707014 BUSINESS ADDRESS: STREET 1: 3200 255 5TH AVENUE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 BUSINESS PHONE: 403-263-7650 MAIL ADDRESS: STREET 1: 3200 255 5TH AVENUE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 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 ownership.xml OWNERSHIP DOCUMENT X0306 4 2021-02-26 0 0001001614 Riley Exploration Permian, Inc. REPX 0001756074 Boomer Petroleum LLC 3200 255 5TH AVENUE SW CALGARY A0 T2P 3G6 ALBERTA, CANADA 0 0 1 0 0001848277 Balmon California, Inc. 3200 255 5TH AVENUE SW CALGARY A0 T2P 3G6 ALBERTA, CANADA 0 0 1 0 0001848746 Texel Resources Inc. 59 BELAIRE PLACE SW CALGARY A0 T2V 2C3 ALBERTA, CANADA 0 0 1 0 Common Stock 2021-02-26 4 J 0 1768702 29.64 A 1768702 D Common Stock 2021-02-26 4 J 0 1768702 29.64 A 1768702 D On February 26, 2021, a wholly-owned subsidiary of Tengasco, Inc. merged with and into Riley Exploration - Permian, LLC ("REP"), with REP surviving the merger as a wholly-owned subsidiary of Tengasco, Inc. ("TGC") (the "Merger"). Upon consummation of the Merger, each common unit of REP was converted into the right to receive 97.796467 shares of TGC common stock. Following completion of the Merger, TGC effected a reverse stock split of its common stock in a ratio of one-for-twelve (the "Reverse Split"). Following completion of the Merger, TGC was renamed Riley Exploration Permian, Inc. (the "Issuer"). Each Reporting Person was a beneficial owner of shares of REP prior to the Merger and acquired the shares of common stock of the Issuer described in Table I in connection with the Merger. These shares are owned directly by Boomer Petroleum, LLC, of which 50% is owned by Balmon California, Inc., which is a wholly owned subsidiary of Balcal Holdings Ltd., which is a wholly owned subsidiary of Balmon Investments Ltd., which is wholly owned by Alvin Libin. Balmon California, Inc., Balcal Holdings Ltd., Balmon Investments Ltd. and Alvin Libin are indirect beneficial owners of the reported securities. The $29.64 price was calculated by multiplying $2.47, which was the closing price of the common stock of TGC on February 26, 2021, by twelve, which is the number of shares that each TGC shareholder received per share in connection with the Reverse Split. These shares are owned directly by Boomer Petroleum, LLC, of which 50% is owned by Texel Resources Inc., which is a wholly owned subsidiary of Tokay Capital Corp., which is wholly owned by the Estate of Antonie VandenBrink. Texel Resources Inc., Tokay Capital Corp. and the Estate of Antonie VandenBrink are indirect beneficial owners of the reported securities. All of the Reporting Persons are a "group" for purposes of Section 13(d) of the Exchange Act. /s/ James Duffy, Authorized Signatory 2021-03-02 /s/ Sandra VandenBrink, Authorized Signatory 2021-03-02