SEC Form 4 · accession 0001209191-16-143290
SemGroup Corp · SEMG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Candice L Cheeseman
Officer — VP and General Counsel
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 | 6,458 | $0.00 | A | 19,221 | D | |
| Common StockF1,F2 | Sep 30, 2016 | A | 6,884 | $0.00 | A | 39,743 | I | Held in Trust |
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: (1) each outstanding common unit representing limited partner interests in RRMS held by the Reporting Person converted into 0.8136 (the "Exchange Ratio") shares of SemGroup Class A common stock (the "Common Unit Exchange") and (2) each outstanding RRMS restricted unit award held by the Reporting Person converted into an award with respect to shares of SemGroup based on the Exchange Ratio, subject to the same vesting and forfeiture provisions as were applicable to such RRMS restricted unit award (the "Restricted Unit Exchange"). As a result of the Merger Exchange and Restricted Unit Exchange, SemGroup issued the common stock reported on Table 1 to the Reporting Person.
- F2Shares held of record by the Berman-Cheeseman Family Trust dated 9/16/2013 of which Ms. Cheeseman and her husband are co-trustees. Each trustee has independent control and voting power over the Trust.