0001756043-24-000001.txt : 20240102
0001756043-24-000001.hdr.sgml : 20240102
20240102152703
ACCESSION NUMBER: 0001756043-24-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231231
FILED AS OF DATE: 20240102
DATE AS OF CHANGE: 20240102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Riley Kevin
CENTRAL INDEX KEY: 0001756043
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15555
FILM NUMBER: 24502120
MAIL ADDRESS:
STREET 1: 29 EAST RENO
STREET 2: SUITE 500
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Riley Exploration Permian, Inc.
CENTRAL INDEX KEY: 0001001614
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
ORGANIZATION NAME: 01 Energy & Transportation
IRS NUMBER: 870267438
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 29 E. RENO AVENUE
STREET 2: SUITE 500
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73104
BUSINESS PHONE: 405-415-8699
MAIL ADDRESS:
STREET 1: 29 E. RENO AVENUE
STREET 2: SUITE 500
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73104
FORMER COMPANY:
FORMER CONFORMED NAME: TENGASCO INC
DATE OF NAME CHANGE: 19960612
4
1
wk-form4_1704227213.xml
FORM 4
X0508
4
2023-12-31
1
0001001614
Riley Exploration Permian, Inc.
REPX
0001756043
Riley Kevin
C/O RILEY EXPLORATION PERMIAN, INC.
29 EAST RENO, SUITE 500
OKLAHOMA CITY
OK
73104
0
1
0
0
PRESIDENT
0
Common Stock, par value $0.001 per share
2023-12-31
4
D
0
20000
0
D
202726
D
These shares were forfeited to the Issuer pursuant to that certain Separation and Release Agreement by and between the Filer and the Issuer dated December 21, 2023 and effective as of December 28, 2023.
This amount includes 64,887 shares of restricted common stock subject to vesting and certain other restrictions.
/s/ Kevin Riley
2024-01-02