0001909151-22-000002.txt : 20220204 0001909151-22-000002.hdr.sgml : 20220204 20220204084550 ACCESSION NUMBER: 0001909151-22-000002 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220125 FILED AS OF DATE: 20220204 DATE AS OF CHANGE: 20220204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bayless Rebecca L CENTRAL INDEX KEY: 0001909151 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15555 FILM NUMBER: 22591120 MAIL ADDRESS: STREET 1: 18 MAYMONT WAY CITY: THE WOODLANDS STATE: TX ZIP: 77382 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 3 1 wf-form3_164398233737113.xml FORM 3 X0206 3 2022-01-25 0 0001001614 Riley Exploration Permian, Inc. REPX 0001909151 Bayless Rebecca L C/O RILEY EXPLORATION PERMIAN, INC. 29 E. RENO, SUITE 500 OKLAHOMA CITY OK 73104 1 0 0 0 Common Stock, par value $0.001 per share 5468 D These shares are restricted stock acquired under Issuer's Riley Exploration Permian, Inc. 2021 Long Term Incentive Plan on January 25, 2022 (the "Grant Date"). 100% of the shares of restricted stock vest on the first anniversary of the Grant Date. /s/ Rebecca L. Bayless 2022-02-04