0001755918-22-000008.txt : 20221206 0001755918-22-000008.hdr.sgml : 20221206 20221206174933 ACCESSION NUMBER: 0001755918-22-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221206 FILED AS OF DATE: 20221206 DATE AS OF CHANGE: 20221206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Riley Philip A CENTRAL INDEX KEY: 0001755918 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 221448648 MAIL ADDRESS: STREET 1: 919 MILAM STREET STREET 2: SUITE 550 CITY: HOUSTON STATE: TX ZIP: 77005 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 wf-form4_167036694851621.xml FORM 4 X0306 4 2022-12-06 0 0001001614 Riley Exploration Permian, Inc. REPX 0001755918 Riley Philip A C/O RILEY EXPLORATION PERMIAN, INC. 29 EAST RENO, SUITE 500 OKLAHOMA CITY OK 73104 0 1 0 0 CFO & EVP STRATEGY Common Stock, par value $0.001 per share 2022-12-06 4 G 0 500 0 D 87039 D Reflects the gift / charitable donation of common stock to a non-profit organization. This is not a market transaction, thus no price has been reported. No value was received by the seller for the gifted shares. This amount includes 62,781 shares of restricted common stock subject to vesting and certain other restrictions. /s/ Philip Riley 2022-12-06