0001104659-19-005096.txt : 20190201
0001104659-19-005096.hdr.sgml : 20190201
20190201161553
ACCESSION NUMBER: 0001104659-19-005096
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190201
FILED AS OF DATE: 20190201
DATE AS OF CHANGE: 20190201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boaz Energy II, LLC
CENTRAL INDEX KEY: 0001719890
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38472
FILM NUMBER: 19560018
BUSINESS ADDRESS:
STREET 1: 3300 N. A STREET BLDG. 7 #150
CITY: MIDLAND
STATE: TX
ZIP: 79705
BUSINESS PHONE: (432) 253-7074
MAIL ADDRESS:
STREET 1: 3300 N. A STREET BLDG. 7 #150
CITY: MIDLAND
STATE: TX
ZIP: 79705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NGP X US Holdings LP
CENTRAL INDEX KEY: 0001606887
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38472
FILM NUMBER: 19560019
BUSINESS ADDRESS:
STREET 1: 5221 N. O'CONNOR BOULEVARD
STREET 2: SUITE 1100
CITY: IRVING
STATE: TX
ZIP: 75039
BUSINESS PHONE: 972-432-1440
MAIL ADDRESS:
STREET 1: 5221 N. O'CONNOR BOULEVARD
STREET 2: SUITE 1100
CITY: IRVING
STATE: TX
ZIP: 75039
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NGP Boaz Energy II Co-Invest LLC
CENTRAL INDEX KEY: 0001739246
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38472
FILM NUMBER: 19560020
BUSINESS ADDRESS:
STREET 1: 5221 N. O'CONNOR BOULEVARD
STREET 2: SUITE 1100
CITY: IRVING
STATE: TX
ZIP: 75039
BUSINESS PHONE: (972) 432-1440
MAIL ADDRESS:
STREET 1: 5221 N. O'CONNOR BOULEVARD
STREET 2: SUITE 1100
CITY: IRVING
STATE: TX
ZIP: 75039
FORMER NAME:
FORMER CONFORMED NAME: NGP Boaz II Co-Invest LLC
DATE OF NAME CHANGE: 20180501
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PermRock Royalty Trust
CENTRAL INDEX KEY: 0001724009
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 826725102
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: P.O. BOX 470727
STREET 2: ATTN: LEE ANN ANDERSON
CITY: FORT WORTH
STATE: TX
ZIP: 76147
BUSINESS PHONE: (855) 588-7839
MAIL ADDRESS:
STREET 1: P.O. BOX 470727
STREET 2: ATTN: LEE ANN ANDERSON
CITY: FORT WORTH
STATE: TX
ZIP: 76147
4
1
a4.xml
4
X0306
4
2019-02-01
0
0001724009
PermRock Royalty Trust
PRT
0001719890
Boaz Energy II, LLC
3300 N. A STREET BLDG. 7 #150
MIDLAND
TX
79705
0
0
1
0
0001606887
NGP X US Holdings LP
5221 N. O'CONNOR BOULEVARD
SUITE 1100
IRVING
TX
75039
0
0
1
0
0001739246
NGP Boaz Energy II Co-Invest LLC
5221 N. O'CONNOR BOULEVARD
SUITE 1100
IRVING
TX
75039
0
0
1
0
Trust Units representing Beneficial Interests
2019-02-01
4
J
0
37400
D
5878332
D
On February 1, 2019, Boaz Energy II, LLC, a Delaware limited liability company ("Boaz Energy") granted Trust Units representing beneficial interests in the Issuer ("Trust Units") to certain employees of Boaz Energy pursuant to individual Trust Unit Agreements entered into between Boaz Energy and such employees. No consideration was paid to Boaz Energy in respect of such grants.
Boaz Energy directly owns the Trust Units. All other reporting persons' ownership is indirect through Boaz Energy.
/s/ Boaz Energy II, LLC By: Marshall Eves, Chief Executive Officer
2019-02-01
/s/ NGP X US Holdings, L.P. By:NGP X Holdings GP, L.L.C., its general partner By: Tony R. Weber, Authorized Person
2019-02-01
/s/ NGP Boaz Energy II Co-Invest LLC By: G.F.W. Energy X, L.P., its managing member By: GFW X, L.L.C., its general partner By: Tony R. Weber, Authorized Person
2019-02-01