0001515971-22-000021.txt : 20220124 0001515971-22-000021.hdr.sgml : 20220124 20220124161437 ACCESSION NUMBER: 0001515971-22-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220120 FILED AS OF DATE: 20220124 DATE AS OF CHANGE: 20220124 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: 22549487 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 2022-01-20 0 0001745797 Brigham Minerals, Inc. MNRL 0001773076 Roosa Robert M. 5914 W. COURTYARD DRIVE, SUITE 200 AUSTIN TX 78730 1 1 0 0 Chief Executive Officer Class A Common Stock 2022-01-20 4 A 0 126063 0.00 A 433441 D Class A Common Stock 2022-01-24 4 F 0 53388 21.09 D 380053 D Class A Common Stock 36111 I See Footnote Represents shares of Class A common stock that vested on January 20, 2022, based on the Compensation Committee's determination of the achievement of certain predetermined performance goals under previously issued performance 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. 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 performance stock units. These securities are held by RSR Resources & Minerals Vested, LLC, of which the Reporting Person is the manager. /s/ Robert M. Roosa, by Kari A. Potts as Attorney-in-Fact 2022-01-24