1. Name and Address of Reporting Person*
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Brigham Minerals, Inc.
[ MNRL ]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
3. Date of Earliest Transaction
(Month/Day/Year) 06/14/2022
|
4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
|
Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*Pine Brook Capital Partners II, L.P. |
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*Pine Brook PD Intermediate, L.P. |
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*Pine Brook Road Associates II, L.P. |
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*Pine Brook BXP Intermediate, L.P. |
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*Pine Brook BXP II Intermediate, L.P. |
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*Pine Brook Road Advisors, L.P. |
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
1. Name and Address of Reporting Person*
C/O PINE BROOK ROAD PARTNERS, LLC |
60 EAST 42ND STREET, SUITE 3014 |
(Street)
|
|
PBRA, LLC, By: /s/ Richard Aube, President |
06/16/2022 |
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Pine Brook Capital Partners II, L.P., By: Pine Brook Road Associates II, L.P., its General Partner, By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President |
06/16/2022 |
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Pine Brook PD Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President |
06/16/2022 |
|
Pine Brook Road Associates II, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President |
06/16/2022 |
|
Pine Brook BXP Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President |
06/16/2022 |
|
Pine Brook BXP II Intermediate, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President |
06/16/2022 |
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Pine Brook Road Advisors, L.P., By: PBRA, LLC, its General Partner, By: /s/ Richard Aube, President |
06/16/2022 |
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/s/ Howard Newman |
06/16/2022 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |