SEC Form 4 · accession 0001140361-16-082077
Riley Exploration Permian, Inc. · REPX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Hughree Fennon Brooks
Director
Period of report
Oct 3, 2016
Accepted (ET)
Oct 5, 2016 · 7:50 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 | Oct 3, 2016 | J | 500 | $0.00 | A | 500 | D | |
| Common Stock | Jul 1, 2016 | J | 500 | $0.00 | A | 500 | D | |
| Common Stock | Apr 1, 2016 | J | 500 | $0.00 | A | 500 | D |
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 BuyF3 | $1.20 | Jan 4, 2016 | J | 1 | A | Jan 4, 2016 | Jan 3, 2021 | Common Stock | 625 | 1 | D |
| Option Right to BuyF3 | $2.20 | Oct 2, 2015 | J | 1 | A | Oct 2, 2015 | Oct 1, 2020 | Common Stock | 625 | 1 | D |
| Option Right toF3 | $2.70 | Jul 2, 2013 | J | 1 | A | Jul 2, 2015 | Jul 1, 2020 | Common Stock | 625 | 1 | D |
| Option Right to BuyF3 | $2.30 | Apr 2, 2015 | J | 1 | A | Apr 2, 2015 | Apr 1, 2020 | Common Stock | 625 | 1 | D |
| Option Right to BuyF3 | $2.50 | Jan 5, 2015 | J | 1 | A | Jan 5, 2015 | Jan 4, 2020 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $4.40 | Oct 2, 2014 | J | 1 | A | Oct 2, 2014 | Oct 1, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $4.40 | Jul 2, 2014 | J | 1 | A | Jul 2, 2014 | Jul 1, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $4.80 | Apr 1, 2014 | J | 1 | A | Apr 1, 2014 | Mar 31, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $4.10 | Jan 3, 2014 | J | 1 | A | Jan 3, 2014 | Jan 2, 2019 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $4.10 | Oct 2, 2013 | J | 1 | A | Oct 2, 2013 | Oct 1, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $4.80 | Jul 1, 2013 | J | 1 | A | Jul 1, 2013 | Jun 30, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $6.20 | Apr 1, 2013 | J | 1 | A | Apr 1, 2013 | Mar 31, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $6.40 | Jan 2, 2013 | J | 1 | A | Oct 2, 2013 | Jan 1, 2018 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $7.80 | Oct 1, 2012 | J | 1 | A | Oct 1, 2012 | Sep 30, 2017 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $8.10 | Jul 2, 2012 | J | 1 | A | Jul 2, 2012 | Jul 1, 2017 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $10.70 | Apr 2, 2012 | J | 1 | A | Apr 2, 2012 | Apr 1, 2017 | Common Stock | 625 | 1 | D |
| Option Right to buyF3 | $7.50 | Jan 3, 2012 | J | 1 | A | Jan 3, 2012 | Jan 2, 2017 | Common Stock | 625 | 1 | D |
Explanation of responses
- F1Grant of stock pursuant to the Tengasco, Inc. Stock Incentive Plan.
- F2Grant of option to the Tengasco Stock Incentive Plan.
- F3Conversion price and number of options adjusted to reflect 1:10 reverse stock split effective March 24, 2016.