0001515971-22-000003.txt : 20220110
0001515971-22-000003.hdr.sgml : 20220110
20220110161551
ACCESSION NUMBER: 0001515971-22-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220110
FILED AS OF DATE: 20220110
DATE AS OF CHANGE: 20220110
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: 22521420
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 200
CITY: AUSTIN
STATE: TX
ZIP: 78730
BUSINESS PHONE: (512) 220-6350
MAIL ADDRESS:
STREET 1: 5914 W. COURTYARD DRIVE
STREET 2: SUITE 200
CITY: AUSTIN
STATE: TX
ZIP: 78730
4
1
ownership.xml
X0306
4
2022-01-10
0
0001745797
Brigham Minerals, Inc.
MNRL
0001773076
Roosa Robert M.
5914 WEST COURTYARD DRIVE
SUITE 200
AUSTIN
TX
78730
1
1
0
0
Chief Executive Officer
Class A Common Stock
2022-01-10
4
F
0
57426
21.09
D
307378
D
Class A Common Stock
36111
I
See Footnote
Class B Common Stock
2021-03-19
5
G
0
E
5000
0.00
D
152537
I
See Footnote
Class B Common Stock
133102
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
2021-03-19
5
G
0
E
5000
0.00
D
Class A Common Stock
5000
152537
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
Class A Common Stock
133102
133102
I
See Footnote
Represents shares withheld by the Issuer to satisfy tax withholding obligations of the Reporting Person that arose in connection with the vesting and settlement of certain restricted stock units.
Includes 137,124 restricted stock units awarded pursuant to the Brigham Minerals, Inc. 2019 Long Term Incentive Plan, which are subject to time based vesting upon continued employment through the applicable vesting dates.
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. 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 Kari A. Potts as Attorney-in-Fact
2022-01-10