0000899243-20-014797.txt : 20200601 0000899243-20-014797.hdr.sgml : 20200601 20200601205146 ACCESSION NUMBER: 0000899243-20-014797 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200528 FILED AS OF DATE: 20200601 DATE AS OF CHANGE: 20200601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levy James R. CENTRAL INDEX KEY: 0001535563 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 20935419 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Brigham Minerals, Inc. CENTRAL INDEX KEY: 0001745797 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 831106283 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5914 W. COURTYARD DRIVE STREET 2: SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78730 BUSINESS PHONE: (512) 220-6350 MAIL ADDRESS: STREET 1: 5914 W. COURTYARD DRIVE STREET 2: SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78730 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-05-28 0 0001745797 Brigham Minerals, Inc. MNRL 0001535563 Levy James R. 5914 W. COURTYARD DRIVE, SUITE 150 AUSTIN TX 78730 1 0 1 0 Class A Common Stock 2020-05-28 4 A 0 10598 0.00 A 18872 D Class A Common Stock 3856823 I See Footnotes Award of restricted stock units pursuant to the Brigham Minerals, Inc. 2019 Long Term Incentive Plan. The award vests in full on the first anniversary of the grant date, subject to continued service through the vesting date. Includes 10,598 restricted stock units awarded pursuant to the Brigham Minerals, Inc. 2019 Long Term Incentive Plan. The award vests in full on the first anniversary of the grant date, subject to continued service through the vesting date. The Reporting Person is a Partner of Warburg Pincus & Co., a New York general partnership ("WP"), and a Member and Managing Director of Warburg Pincus LLC, a New York limited liability company ("WP LLC"). Certain affiliates of WP and WP LLC (such affiliates, the "Warburg Pincus Entities") collectively held 3,856,823 shares of Class A common stock of the Issuer as of the date hereof. All shares of Class A common stock of the Issuer indicated as indirectly beneficially owned by the Reporting Person are included because of his affiliation with the Warburg Pincus Entities, due to which the Reporting Person may be deemed to have an indirect pecuniary interest (within the meaning of Rule 16a-1 under the Securities Exchange Act of 1934, as amended) in an indeterminate portion of such securities owned by the Warburg Pincus Entities. The Reporting Person disclaims beneficial ownership of all shares of Class A common stock of the Issuer attributable to the Warburg Pincus Entities except to the extent of his direct pecuniary interest therein. See attached for Exhibit 24 - Power of Attorney /s/ James R. Levy, by Kari A. Potts as Attorney-in-Fact 2020-06-01 EX-24 2 attachment1.htm EX-24 DOCUMENT

                               POWER OF ATTORNEY

                                  June 1, 2020

        Know all by these presents, that the undersigned hereby constitutes and
appoints Blake C. Williams, Robert M. Roosa and Kari A. Potts of Brigham
Minerals, Inc. (the "Company") or any of them signing singly, and with full
power of substitution, the undersigned's true and lawful attorney-in-fact to:

        1.    execute for and on behalf of the undersigned with respect to the
Company, Schedules 13D and 13G and Forms 3, 4, and 5 in accordance with Sections
13 and 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

        2.    do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute any such
Schedules 13D or 13G or Form 3, 4, or 5, complete and execute any amendment or
amendments thereto, and timely file such form with the U.S. Securities and
Exchange Commission and any stock exchange or similar authority; and

        3.    take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.

        The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in- fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this Power of Attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming any of the
undersigned's responsibilities to comply with Sections 13 and 16 of the
Securities Exchange Act of 1934.

        This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.

                                [signature page follows]


        IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of the date first written above.


                                     /s/ James R. Levy
                                    --------------------------------------------
                                    Name: James R. Levy