0001632977-24-000009.txt : 20240604
0001632977-24-000009.hdr.sgml : 20240604
20240604162754
ACCESSION NUMBER: 0001632977-24-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240601
FILED AS OF DATE: 20240604
DATE AS OF CHANGE: 20240604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bonney Amber
CENTRAL INDEX KEY: 0001632977
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15555
FILM NUMBER: 241018520
MAIL ADDRESS:
STREET 1: 914 N. BROADWAY, SUITE 230
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73102
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Riley Exploration Permian, Inc.
CENTRAL INDEX KEY: 0001001614
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
ORGANIZATION NAME: 01 Energy & Transportation
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
wk-form4_1717532864.xml
FORM 4
X0508
4
2024-06-01
1
0001001614
Riley Exploration Permian, Inc.
REPX
0001632977
Bonney Amber
C/O RILEY EXPLORATION PERMIAN, INC.
29 E. RENO, SUITE 500
OKLAHOMA CITY
OK
73104
0
1
0
0
Chief Accounting Officer
0
Common Stock
2024-06-01
4
D
0
16448
0
D
75626
D
These shares were forfeited to the Issuer pursuant to that certain Separation and Release Agreement by and between the Filer and the Issuer dated June 1, 2024.
This amount includes 61,773 shares of restricted common stock subject to vesting and certain other restrictions.
/s/ Amber Bonney
2024-06-04