0001847420-21-000002.txt : 20210930
0001847420-21-000002.hdr.sgml : 20210930
20210930105501
ACCESSION NUMBER: 0001847420-21-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210928
FILED AS OF DATE: 20210930
DATE AS OF CHANGE: 20210930
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Palmer Michael H
CENTRAL INDEX KEY: 0001847420
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15555
FILM NUMBER: 211294117
MAIL ADDRESS:
STREET 1: 912 CORBETT DR
CITY: NORMAN
STATE: OK
ZIP: 73072
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: 0930
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_163301368861502.xml
FORM 4
X0306
4
2021-09-28
0
0001001614
Riley Exploration Permian, Inc.
REPX
0001847420
Palmer Michael H
C/O RILEY EXPLORATION PERMIAN, INC.
29 EAST RENO, SUITE 500
OKLAHOMA CITY
OK
73104
0
1
0
0
EVP CORPORATE LAND
Common Stock, par value $0.001 per share
2021-09-28
4
F
0
560
24.35
D
19832
D
1.These shares were surrendered to satisfy the withholding tax liability incurred upon the vesting of certain securities originally granted to the reporting person pursuant to the 2018 Riley Exploration Permian, LLC Long Term Incentive Plan and does not represent a discretionary trade by the reporting person.
This amount includes 16,978 shares of restricted common stock acquired under the 2021 Riley Exploration Permian, Inc. Long Term Incentive Plan that remain subject to vesting and other restrictions.
/s/Michael Palmer
2021-09-29