0001849442-21-000005.txt : 20211013 0001849442-21-000005.hdr.sgml : 20211013 20211013173127 ACCESSION NUMBER: 0001849442-21-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211012 FILED AS OF DATE: 20211013 DATE AS OF CHANGE: 20211013 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Libin Alvin Gerald CENTRAL INDEX KEY: 0001849442 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 211321995 MAIL ADDRESS: STREET 1: 3200 255 5TH AVENUE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Balmon Investments Ltd. CENTRAL INDEX KEY: 0001880365 STATE OF INCORPORATION: A0 FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 211321994 BUSINESS ADDRESS: STREET 1: 3200 255 5TH AVENUE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 BUSINESS PHONE: 4032637650 MAIL ADDRESS: STREET 1: 3200 255 5TH AVENUE SW CITY: CALGARY STATE: A0 ZIP: T2P 3G6 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-10-12 0 0001001614 Riley Exploration Permian, Inc. REPX 0001849442 Libin Alvin Gerald 3200 255 5TH AVENUE SW CALGARY A0 T2P 3G6 ALBERTA, CANADA 0 0 1 0 0001880365 Balmon Investments Ltd. 3200 255 5TH AVENUE SW CALGARY A0 T2P 3G6 ALBERTA, CANADA 0 0 1 0 Common Stock 2021-10-12 4 P 0 1300 24 A 1790385 I By Balmon Investments Ltd. (1) Common Stock 2021-10-13 4 P 0 6200 25.1471 A 1796585 I By Balmon Investments, Ltd. (1) (1) These shares are owned directly by Balmon Investments, Ltd., which is wholly owned by Alvin Gerald Libin. Alvin Gerald Libin is the indirect beneficial owner of the reported securities. All of the Reporting Persons are a group for purposes of Section 13(d) of the Exchange Act. /s/ James Duffy, Authorized Signatory 2021-10-13