Sec Form 4 Filing - Boomer Petroleum LLC @ Riley Exploration Permian, Inc. - 2021-12-03

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Boomer Petroleum LLC
2. Issuer Name and Ticker or Trading Symbol
Riley Exploration Permian, Inc. [ REPX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
3200 255 5TH AVENUE SW
3. Date of Earliest Transaction (MM/DD/YY)
12/03/2021
(Street)
CALGARY,, A0T2P 3G6
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/03/2021 J( 1 ) 1,768,702( 2 ) D 0 D
Common Stock 12/03/2021 J( 1 ) 1,768,702( 3 ) D 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Boomer Petroleum LLC
3200 255 5TH AVENUE SW
CALGARY,, A0T2P 3G6
X
Balmon California, Inc.
3200 255 5TH AVENUE SW
CALGARY,, A0T2P 3G6
X
Balmon Investments Ltd.
3200 255 5TH AVENUE SW
CALGARY,, A0T2P 3G6
X
Libin Alvin Gerald
3200 255 5TH AVENUE SW
CALGARY,, A0T2P 3G6
X
Texel Resources Inc.
59 BELAIRE PLACE SW
CALGARY,, A0T2V 2C3
X
Estate of Antonie VandenBrink
59 BELAIRE PLACE SW
CALGARY,, A0T2V 2C3
X
Signatures
/s/ Mark Macinnes, Authorized Signatory 12/07/2021
Signature of Reporting Person Date
/s/ Stephen VandenBrink, Authorized Signatory 12/07/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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.
( 2 )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.
( 3 )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.

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