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