SEC Form 4 · accession 0001140361-16-071768
Riley Exploration Permian, Inc. · REPX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Jul 1, 2016
Accepted (ET)
Jul 6, 2016 · 3:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001001614
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jul 1, 2016 | J | 500 | $0.00 | A | 500 | D | |
| Common Stock | Apr 1, 2016 | J | 500 | $0.00 | A | 500 | D | |
| Common StockF2 | holding | — | — | — | 21,800 | D | ||
| Common StockF3 | holding | — | — | — | 2,063,916 | I | By Affiliate Partnership |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option Right to BuyF5 | $1.20 | Jan 4, 2016 | J | 1 | A | Jan 4, 2016 | Jan 3, 2021 | Common Stock | 625 | 1 | D |
| Option Right to BuyF5 | $2.20 | Oct 2, 2015 | J | 1 | A | Oct 2, 2015 | Oct 1, 2020 | Common Stock | 625 | 1 | D |
| Option Right to BuyF5 | $2.70 | Jul 2, 2015 | J | 1 | A | Jul 2, 2015 | Jul 1, 2020 | Common Stock | 625 | 1 | D |
| Option Right to BuyF5 | $2.30 | Apr 2, 2015 | J | 1 | A | Apr 2, 2015 | Apr 1, 2020 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $2.50 | Jan 5, 2015 | J | 1 | A | Jan 5, 2015 | Jan 4, 2020 | Common Stock | 625 | 1 | D |
| Option Right to BuyF5 | $4.40 | Oct 2, 2014 | J | 1 | A | Oct 2, 2014 | Oct 1, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $4.40 | Jul 2, 2014 | J | 1 | A | Jul 2, 2014 | Jul 1, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $4.80 | Apr 1, 2014 | J | 1 | A | Apr 1, 2014 | Mar 31, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $4.10 | Jan 3, 2014 | J | 1 | A | Jan 3, 2014 | Jan 2, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $4.10 | Oct 2, 2013 | J | 1 | A | Oct 2, 2013 | Oct 1, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $4.80 | Jul 1, 2013 | J | 1 | A | Jul 1, 2013 | Jun 30, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $6.20 | Apr 1, 2013 | J | 1 | A | Apr 1, 2013 | Mar 31, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $6.40 | Jan 2, 2013 | J | 1 | A | Jan 2, 2013 | Jan 1, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $7.30 | Oct 1, 2012 | J | 1 | A | Oct 1, 2012 | Sep 30, 2017 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $8.10 | Jul 2, 2012 | J | 1 | A | Jul 2, 2012 | Jul 1, 2017 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $10.70 | Apr 2, 2012 | J | 1 | A | Apr 2, 2012 | Apr 1, 2017 | Common Stock | 625 | 1 | D |
| Option Right to buyF5 | $7.50 | Jan 3, 2012 | J | 1 | A | Jan 3, 2012 | Jan 2, 2017 | Common Stock | 625 | 1 | D |
| Option Right to BuyF5 | $7.20 | Oct 3, 2011 | J | 1 | A | Oct 3, 2011 | Oct 2, 2016 | Common Stocik | 625 | 1 | D |
Explanation of responses
- F1Grant of stock pursuant to Tengasco, Inc's Stock Incentive Plan to Peter E. Salas in his individual capacity.
- F2Held directly by Peter E. Salas in his individual capacity. Adjusted to reflect 1:10 reverse stock split effective March 24, 2016.
- F3Held directly by Dolphin Offshore Partners L.P. Peter E. Salas, the chairman of Tengasco Inc.'s Board of Directors, is the sole shareholder and controlling person of Dolphin Mgmt. Services, Inc., the managing general partner of Dolphin Offshore Partners, L.P. Adjusted to reflect 1:10 reverse stock split effective March 24, 2016.
- F4Grant of option pursuant to Tengasco's Stock Incentive Plan to Peter E. Salas in his individual capacity.
- F5Conversion price and number of options adjusted to reflect 1:10 reverse stock split effective March 24, 2016.