Amended Statement of Changes in Beneficial Ownership (4/a)
26 Août 2021 - 7:37PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Libin Alvin Gerald |
2. Issuer Name and Ticker or Trading Symbol
Riley Exploration Permian, Inc.
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REPX
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
3200 255 5TH AVENUE SW |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/20/2021 |
(Street)
CALGARY, A0 T2P 3G6
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
8/24/2021 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
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X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 8/20/2021 | | P | | 11000 | A | $16.9607 | 1779702 | I | By Balmon Investments (1) |
Common Stock | 8/23/2021 | | P | | 3376 | A | $17.4321 | 1783078 | I | By Balmon Investments (1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | (1) The shares acquired are owned directly by Balmon Investments, Ltd., which is wholly owned by Alvin Gerald Libin. Alvin Gerald Libin is the indirect beneficial owner of the reported securities. All of the Reporting Persons are a group for purposes of Section 13(d) of the Exchange Act. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Libin Alvin Gerald 3200 255 5TH AVENUE SW CALGARY, A0 T2P 3G6 |
| X |
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Balmon Investments Ltd. 3200 255 5TH AVENUE SW CALGARY, A0 T2P 3G6 |
| X |
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Signatures
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/s/ James Duffy, Authorized Signatory | | 8/26/2021 |
**Signature of Reporting Person | Date |
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