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