0000899243-20-024791.txt : 20200909 0000899243-20-024791.hdr.sgml : 20200909 20200909184458 ACCESSION NUMBER: 0000899243-20-024791 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200904 FILED AS OF DATE: 20200909 DATE AS OF CHANGE: 20200909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PBRA, LLC CENTRAL INDEX KEY: 0001615816 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167421 BUSINESS ADDRESS: STREET 1: C/O PINE BROOK ROAD PARTNERS, LLC STREET 2: 60 EAST 42ND STREET, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: (212) 847-4335 MAIL ADDRESS: STREET 1: C/O PINE BROOK ROAD PARTNERS, LLC STREET 2: 60 EAST 42ND STREET, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Brook Capital Partners II, L.P. CENTRAL INDEX KEY: 0001556984 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167422 BUSINESS ADDRESS: STREET 1: 60 EAST 42ND STREET, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 212-847-4333 MAIL ADDRESS: STREET 1: 60 EAST 42ND STREET, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Brook PD Intermediate, L.P. CENTRAL INDEX KEY: 0001751124 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167423 BUSINESS ADDRESS: STREET 1: 60 EAST 42ND STREET, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 212-847-4333 MAIL ADDRESS: STREET 1: 60 EAST 42ND STREET, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Brook Road Associates II, L.P. CENTRAL INDEX KEY: 0001774259 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167424 BUSINESS ADDRESS: STREET 1: 60 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 212-847-4333 MAIL ADDRESS: STREET 1: 60 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Brook BXP Intermediate, L.P. CENTRAL INDEX KEY: 0001774257 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167425 BUSINESS ADDRESS: STREET 1: 60 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 212-847-4333 MAIL ADDRESS: STREET 1: 60 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Brook BXP II Intermediate, L.P. CENTRAL INDEX KEY: 0001774260 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167426 BUSINESS ADDRESS: STREET 1: 560 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 212-847-4333 MAIL ADDRESS: STREET 1: 560 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Brook Road Advisors, L.P. CENTRAL INDEX KEY: 0001630691 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167427 BUSINESS ADDRESS: STREET 1: 60 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 2128474333 MAIL ADDRESS: STREET 1: 60 EAST 42ND STREET STREET 2: 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 FORMER NAME: FORMER CONFORMED NAME: Pine Brook Road Advisors, LP DATE OF NAME CHANGE: 20150113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NEWMAN HOWARD H CENTRAL INDEX KEY: 0001013026 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38870 FILM NUMBER: 201167428 MAIL ADDRESS: STREET 1: ONE GRAND CENTRAL PLACE STREET 2: 60 EAST 42ND ST, 50TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10165 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 doc4.xml FORM 4 SUBMISSION X0306 4 2020-09-04 0 0001745797 Brigham Minerals, Inc. MNRL 0001615816 PBRA, LLC C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001556984 Pine Brook Capital Partners II, L.P. C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001751124 Pine Brook PD Intermediate, L.P. C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001774259 Pine Brook Road Associates II, L.P. C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001774257 Pine Brook BXP Intermediate, L.P. C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001774260 Pine Brook BXP II Intermediate, L.P. C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001630691 Pine Brook Road Advisors, L.P. C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 1 0 0 0 0001013026 NEWMAN HOWARD H C/O PINE BROOK ROAD PARTNERS, LLC 60 EAST 42ND STREET, 50TH FLOOR NEW YORK NY 10165 0 0 1 0 Class B common stock, par value $0.01 2020-09-04 4 C 0 172328 D 1753629 I By Pine Brook BXP Intermediate, L.P. Class A common stock, par value $0.01 2020-09-04 4 C 0 172328 A 172328 I By Pine Brook BXP Intermediate, L.P. Class A common stock, par value $0.01 2020-09-08 4 J 0 172328 D 0 I By Pine Brook BXP Intermediate, L.P. Class B common stock, par value $0.01 2020-09-04 4 C 0 407202 D 2947699 I By Pine Brook BXP II Intermediate, L.P. Class A common stock, par value $0.01 2020-09-04 4 C 0 407202 A 407202 I By Pine Brook BXP II Intermediate, L.P. Class A common stock, par value $0.01 2020-09-08 4 J 0 407202 D 0 I By Pine Brook BXP II Intermediate, L.P. Class B common stock, par value $0.01 474231 I By Pine Brook PD Intermediate, L.P. Brigham Minerals Holdings, LLC common unit 2020-09-04 4 C 0 172328 0.00 D Class A common stock, par value $0.01 172328 1753629 I By Pine Brook BXP Intermediate, L.P. Brigham Minerals Holdings, LLC common unit 2020-09-04 4 C 0 407202 0.00 D Class A common stock, par value $0.01 407202 2947699 I By Pine Brook BXP II Intermediate, L.P. Brigham Minerals Holdings, LLC common unit Class A common stock, par value $0.01 474231 474231 I By Pine Brook PD Intermediate, L.P. PBRA, LLC may be deemed to share beneficial ownership of the shares of Class A common stock, shares of Class B common stock and Brigham Minerals Holdings, LLC ("Brigham LLC") common units (each a "Common Unit") of Pine Brook PD Intermediate, L.P., Pine Brook BXP Intermediate, L.P. or Pine Brook BXP II Intermediate, L.P. as each of their general partner. Howard Newman is the managing member of PBRA, LLC and may also be deemed to share beneficial ownership of such securities. Each of PBRA, LLC, Pine Brook Capital Partners II, L.P., Pine Brook Road Associates II, L.P., Pine Brook PD Intermediate, L.P., Pine Brook BXP Intermediate, L.P., Pine Brook BXP II Intermediate, L.P. and Pine Brook Road Advisors, L.P. is a director-by-deputization solely for purposes of Section 16 of the Securities and Exchange Act of 1934. At the request of the holder, each Common Unit may be coupled with a share of Class B common stock and redeemed for, at Brigham LLC's election, newly-issued shares of Class A common stock on a one-for-one basis or a cash payment equal to a volume weighted average market price of one share of Class A common stock for each Common Unit redeemed. The Common Units do not expire. On September 4, 2020, Pine Brook BXP Intermediate, L.P. requested that 172,328 shares of Class B common stock and 172,328 Common Units be redeemed, and Brigham LLC elected to redeem such securities for an aggregate of 172,328 shares of Class A common stock. Effective September 8, 2020, Pine Brook BXP Intermediate, L.P. distributed 172,328 shares of Class A common stock to one of its investors, which shares represent such investor's pro rata share of the Class B common stock owned by Pine Brook BXP Intermediate, L.P. prior to the redemption referred to in Note 3 above. On September 4, 2020, Pine Brook BXP II Intermediate, L.P. requested that 407,202 shares of Class B common stock and 407,202 Common Units be redeemed, and Brigham LLC elected to redeem such securities for an aggregate of 407,202 shares of Class A common stock. Effective September 8, 2020, Pine Brook BXP II Intermediate, L.P. distributed 407,202 shares of Class A common stock to one of its investors, which shares represent such investor's pro rata share of the Class B common stock owned by Pine Brook BXP II Intermediate, L.P. prior to the redemption referred to in Note 5 above. PBRA, LLC, By: /s/ Richard Aube, President 2020-09-09 Pine Brook Capital Partners II, L.P., By: Pine Brook Road Associates II, L.P., its General Partner, By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President 2020-09-09 Pine Brook Road Associates II, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President 2020-09-09 Pine Brook PD Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President 2020-09-09 Pine Brook BXP Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President 2020-09-09 Pine Brook BXP II Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President 2020-09-09 Pine Brook Road Advisors, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President 2020-09-09 /s/ Howard Newman 2020-09-09