SEC Form 4 · accession 0001209191-16-143288
SemGroup Corp · SEMG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald A Ballschmiede
Director
Period of report
Sep 30, 2016
Accepted (ET)
Sep 30, 2016 · 4:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001489136
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 30, 2016 | A | 3,937 | $0.00 | A | 8,912 | D | |
| Common StockF2 | holding | — | — | — | 15,358 | I | Held by GRAT |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On September 30, 2016, pursuant to an Agreement and Plan of Merger entered into by Rose Rock Midstream, L.P. ("RRMS"), Rose Rock Midstream GP, LLC, SemGroup Corporation ("SemGroup"), and PBMS, LLC, each outstanding common unit representing limited partner interests in RRMS (each a "Common Unit") held by the Reporting Person converted into 0.8136 shares of validly issued, fully paid and non-assessable SemGroup Class A common stock, par value $0.01 per share (the "Merger Exchange"). As a result of the Merger Exchange, SemGroup issued the common stock reported on Table 1 to the Reporting Person.
- F215,358 shares previously reports as directly owned are now being reports as indirectly owned by the RAB GRAT 2016-1 grantor annuity trust ("GRAT"). The reporting person is the sole trustee and sole annuitant of the GRAT.