| Accession Number: | 0001213900-21-063911 |
| Date: | 2021-12-03 |
| Issuer: | RILEY EXPLORATION PERMIAN, INC. (REPX) |
| Original Submission Date: |
BOOMER PETROLEUM LLC
3200 255 5TH AVENUE SW
CALGARY,, A0 T2P 3G6
BALMON CALIFORNIA, INC.
3200 255 5TH AVENUE SW
CALGARY,, A0 T2P 3G6
BALMON INVESTMENTS LTD.
3200 255 5TH AVENUE SW
CALGARY,, A0 T2P 3G6
LIBIN ALVIN GERALD
3200 255 5TH AVENUE SW
CALGARY,, A0 T2P 3G6
TEXEL RESOURCES INC.
59 BELAIRE PLACE SW
CALGARY,, A0 T2V 2C3
ESTATE OF ANTONIE VANDENBRINK
59 BELAIRE PLACE SW
CALGARY,, A0 T2V 2C3
| Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
|---|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | 2021-12-03 | J | 1,768,702 | d | $0.00 | 0 | direct | ||
| COMMON STOCK | 2021-12-03 | J | 1,768,702 | d | $0.00 | 0 | direct |
| Title of Derivative Security | Conversion or Exercise Price of Derivative Security | Transaction Date | Deemed Execution Date | Transaction Code | Number of Derivative Securities Acquired (A) or Disposed of (D) | Date Exercisable | Expiration Date | Title and Amount of Securities Underlying Derivative Security | Price of Derivative Security | Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | Ownership Form: Direct (D) or Indirect (I) | Nature of Indirect Beneficial Ownership |
|---|
| ID | footnote |
|---|---|
| f1 | on december 3, 2021, the members of boomer petroleum, llc entered into a plan of dissolution and, for no consideration, distributed ownership of all shares of common stock of riley exploration - permian, llc ("rep") held by it to its members balmon california, inc. and texel resources inc. in equal proportions of 1,768,702 shares each. as a result of the distribution, boomer petroleum, llc no longer beneficially owns any shares of rep and will no longer participate as a reporting person in any subsequent filings by the reporting persons under section 16 of the securities exchange act of 1934, as amended. |
| f2 | as a result of the distribution, these shares are now owned directly by balmon california, inc., which is a wholly owned subsidiary of balcal holdings ltd., which is a wholly owned subsidiary of balmon investments ltd., which is wholly owned by alvin libin. balcal holdings ltd., balmon investments ltd. and alvin libin are indirect beneficial owners of the reported securities. all of these reporting persons are a "group" for purposes of section 13(d) of the exchange act. |
| f3 | as a result of the distribution, these shares are owned directly by texel resources inc., which is a wholly owned subsidiary of tokay capital corp., which is wholly owned by the estate of antonie vandenbrink. tokay capital corp. and the estate of antonie vandenbrink are indirect beneficial owners of the reported securities. all of these reporting persons are a "group" for purposes of section 13(d) of the exchange act. |
