SEC Form 5 · accession 0001387131-17-000529
FS Energy & Power Fund
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael C. Forman
Officer — President and CEO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 3, 2017 · 8:19 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001501729
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common shares of beneficial interestF1 | Dec 23, 2016 | G | 16,443 | $0.00 | D | 0 | D | |
| Common shares of beneficial interestF2,F5 | holding | — | — | — | 129,587 | I | By Franklin Square Holdings, L.P. | |
| Common shares of beneficial interestF3 | holding | — | — | — | 112,222 | I | By FB Capital Partners, L.P. | |
| Common shares of beneficial interestF4,F5 | holding | — | — | — | 129,587 | I | By The 2011 Forman Investment Trust | |
| Common shares of beneficial interestF5 | holding | — | — | — | 8,133 | I | By Trust FBO Minor Children |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Bona fide gift by the Reporting Person to a gift to a charitable foundation created by the Reporting Person for no consideration.
- F2The reporting person disclaims beneficial ownership of any shares held by Franklin Square Holdings, L.P. that exceed his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F3The reporting person disclaims beneficial ownership of any shares held by FB Capital Partners, L.P. that exceed his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F4These shares are directly owned by The 2011 Forman Investment Trust, a trust created by Mr. Forman for the benefit of his minor children. Mr. Forman disclaims beneficial ownership of any shares held by The 2011 Forman Investment Trust that exceed his pecuniary interest therein.
- F5Includes common shares purchased through FSEP's distribution reinvestment plan.