0001847420-23-000002.txt : 20230201
0001847420-23-000002.hdr.sgml : 20230201
20230201163945
ACCESSION NUMBER: 0001847420-23-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230201
FILED AS OF DATE: 20230201
DATE AS OF CHANGE: 20230201
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: 23577347
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_167528756775378.xml
FORM 4
X0306
4
2023-02-01
1
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
2023-02-01
4
F
0
1270
0
D
23432
D
These shares were surrendered to satisfy the withholding tax liability incurred upon the vesting of shares of restricted stock originally issued to the reporting person pursuant to the Riley ExplorationPermian,Inc. 2021 Long Term Incentive Plan and does not represent a discretionary trade by the reporting person.
This amount includes 11,061 shares of restricted common stock subject to vesting and certain other restrictions.
The Issuer's Board of Directors has determined that the core job responsibilities of the reporting person do not fall within the definition of an executive officer for purposes of Section 16 of the Exchange Act. As a result, the reporting person is no longer subject to Section 16 in connection with his transactions in the securities of Riley Exploration Permian, Inc. and therefore will no longer report any such transactions on Form 4 or Form 5.
/s/Michael Palmer
2023-02-01