0001882650-22-000002.txt : 20220127 0001882650-22-000002.hdr.sgml : 20220127 20220127130131 ACCESSION NUMBER: 0001882650-22-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220125 FILED AS OF DATE: 20220127 DATE AS OF CHANGE: 20220127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: di Santo Beth A CENTRAL INDEX KEY: 0001882650 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 22562061 MAIL ADDRESS: STREET 1: 170 CHRISTOPHER STREET CITY: NEW YORK STATE: NY ZIP: 10014 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_164330647690903.xml FORM 4 X0306 4 2022-01-25 0 0001001614 Riley Exploration Permian, Inc. REPX 0001882650 di Santo Beth A C/O RILEY EXPLORATION PERMIAN, INC. 29 E. RENO, SUITE 500 OKLAHOMA CITY OK 73104 1 0 0 0 Common Stock 2022-01-25 4 A 0 10500 0 A 10500 D These shares are restricted stock acquired under Issuer's Riley Exploration Permian, Inc. 2021 Long Term Incentive Plan on January 25, 2022 in exchange for legal services provided to Issuer by Ms. di Santo pursuant to an engagement letter with di Santo Law PLLC. Ms. di Santo has elected not to receive compensation for her service as a director of Issuer. Subject to certain contingencies and provisions allowing for accelerated vesting in certain instances, the shares of restricted stock vest in equal amounts on March 31, 2022, June 30, 2022, September 30, 2022, and December 31, 2022. This amount includes 10,500 shares of restricted common stock subject to vesting and other restrictions. /s/ Beth A. di Santo 2022-01-27