0001847420-22-000005.txt : 20220929 0001847420-22-000005.hdr.sgml : 20220929 20220929160906 ACCESSION NUMBER: 0001847420-22-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220927 FILED AS OF DATE: 20220929 DATE AS OF CHANGE: 20220929 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: 221280612 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: 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_166448212902521.xml FORM 4 X0306 4 2022-09-27 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 2022-09-27 4 A 0 6279 0 A 26026 D These shares are restricted stock acquired under Issuer's Riley Exploration Permian, Inc. 2021 Long Term Incentive Plan on September 27, 2022 ("Grant Date"). Subject to certain contingencies and provisions allowing for accelerated vesting in certain instances, the shares of restricted stock vest in equal amounts on the first, second, and third anniversaries of the Grant Date. This amount includes 18,546 shares of restricted common stock subject to vesting and other restrictions. /s/Michael Palmer 2022-09-27