0000899243-20-005055.txt : 20200219
0000899243-20-005055.hdr.sgml : 20200219
20200219164603
ACCESSION NUMBER: 0000899243-20-005055
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200214
FILED AS OF DATE: 20200219
DATE AS OF CHANGE: 20200219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roosa Robert M.
CENTRAL INDEX KEY: 0001773076
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38870
FILM NUMBER: 20630522
MAIL ADDRESS:
STREET 1: 5914 WEST COURTYARD DRIVE
STREET 2: SUITE 100
CITY: AUSTIN
STATE: TX
ZIP: 78730
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
2020-02-14
0
0001745797
Brigham Minerals, Inc.
MNRL
0001773076
Roosa Robert M.
5914 W. COURTYARD DRIVE, SUITE 100
AUSTIN
TX
78730
1
1
0
0
Chief Executive Officer
Class A Common Stock
2020-02-14
4
A
0
132042
0.00
A
247861
D
Class B Common Stock
2020-02-14
4
A
0
65
0.00
A
162537
I
See Footnote
Class B Common Stock
2020-02-14
4
A
0
121
0.00
A
133102
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
2020-02-14
4
A
0
65
0.00
A
Class A Common Stock
65
162537
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
2020-02-14
4
A
0
121
0.00
A
Class A Common Stock
121
133102
I
See Footnote
Award of restricted stock units pursuant to the Brigham Minerals, Inc. 2019 Long Term Incentive Plan. The award vests in three equal installments on December 31, 2020, December 31, 2021 and December 31, 2022, subject to continued employment through each vesting date.
Represents shares of Class B common stock distributed to the Reporting Person due to a forfeiture reallocation. Each share of Class B common stock has no economic rights but entitles its holder to one vote on all matters to be voted on by stockholders generally.
These securities are held by RSR Resources & Minerals Vested, LLC, of which the Reporting Person is the manager.
These securities are held by RSR Resources & Minerals Unvested, LLC, of which the Reporting Person is the manager.
Represents units of Brigham Minerals Holdings, LLC ("BMH LLC"), of which the Issuer is the managing member, distributed to the Reporting Person due to a forfeiture reallocation. Subject to the terms of the limited liability company agreement of BMH LLC, such units (together with a corresponding number of shares of Class B common stock) are exchangeable from time to time for shares of Class A common stock of the Issuer.
/s/ Robert M. Roosa, by Blake C. Williams as Attorney-in-Fact
2020-02-14