0000899243-19-011179.txt : 20190425
0000899243-19-011179.hdr.sgml : 20190425
20190425215648
ACCESSION NUMBER: 0000899243-19-011179
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190423
FILED AS OF DATE: 20190425
DATE AS OF CHANGE: 20190425
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BRIGHAM BEN M
CENTRAL INDEX KEY: 0001079492
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38870
FILM NUMBER: 19769190
MAIL ADDRESS:
STREET 1: 6300 BRIDGE POINT PKWY
STREET 2: BLDG 2 STE 500
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
2019-04-23
0
0001745797
Brigham Minerals, Inc.
MNRL
0001079492
BRIGHAM BEN M
5914 W. COURTYARD DRIVE, SUITE 100
AUSTIN
TX
78730
1
1
0
0
Executive Chairman
Class A Common Stock
2019-04-23
4
P
0
41666
18.00
A
41666
I
See Footnote
Class A Common Stock
2019-04-23
4
P
0
69444
18.00
A
69444
I
See Footnote
Class B Common Stock
2019-04-23
4
A
0
171016
0.00
A
171016
I
See Footnote
Class B Common Stock
2019-04-23
4
A
0
633151
0.00
A
633151
I
See Footnote
Class B Common Stock
2019-04-23
4
A
0
284894
0.00
A
284894
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
2019-04-23
4
A
0
171016
0.00
A
Class A Common Stock
171016
171016
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
2019-04-23
4
A
0
633151
0.00
A
Class A Common Stock
633151
633151
I
See Footnote
Brigham Minerals Holdings, LLC Units
0.00
2019-04-23
4
A
0
284894
0.00
A
Class A Common Stock
284894
284894
I
See Footnote
These securities are held by Anne and Bud Oil and Gas Vested, LLC, of which Mr. Brigham is the manager.
These securities are held by Brigham Children's Family Limited Partnership, for which Mr. Brigham and his wife serve as the managers of the general partner.
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.
Upon the closing of the Issuer's initial public offering, (i) the Limited Liability Company Agreement of Brigham Minerals Holdings, LLC ("BMH LLC"), of which the Issuer is the managing member, was amended and restated (as amended and restated, the "BMH LLC Agreement") to, among other things, convert all of the membership interests in BMH LLC held by its existing owners, into a single class of units in BMH LLC referred to as BMH LLC Units and (ii) BMH LLC distributed to its members, including the Reporting Person, one share of Class B common stock for each BMH LLC Unit held by such members.
These securities are held by Anne and Bud Oil and Gas Unvested, LLC, of which Mr. Brigham is the manager.
64,631 of the BMH LLC Units beneficially owned by the Reporting Person are subject to time-based vesting requirements requiring the continued employment of the Reporting Person through each vesting date.
Subject to the terms of the BMH LLC Agreement, each holder of BMH LLC Units may cause BMH LLC to acquire all or a portion of its BMH LLC Units for, at BMH LLC's election, (i) shares of Class A common stock of the Issuer (at a redemption ratio of one share of Class A common stock for each BMH LLC Unit redeemed, subject to conversion rate adjustments for stock splits, stock dividends and reclassification and other similar transactions) or (ii) an equivalent amount of cash.
/s/ Ben M. Brigham, by Blake C. Williams as Attorney-in-Fact
2019-04-25