SEC Form 4 · accession 0001513965-16-000175
American Midstream Partners, LP · AMID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy P Balaski
Officer — SVP Business Development
Period of report
Feb 23, 2016
Accepted (ET)
Feb 25, 2016 · 2:20 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001513965
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Units (limited partner interests) | Feb 23, 2016 | M | 1,817 | $0.00 | A | 4,920 | D | |
| Common Units (limited partner interests) | Feb 23, 2016 | F | 527 | $6.19 | D | 4,393 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom unitsF2,F3,F4 | — | Feb 23, 2016 | M | 1,817 | D | — | — | Common Units (limited partner interests) | 1,817 | 5,450 | D |
| Phantom unitsF2,F5,F4 | — | holding | — | — | — | — | — | Common Units (limited partner interests) | 3,125 | 3,125 | D |
Explanation of responses
- F1Units were sold back to the Issuer at market value to pay withholding taxes.
- F2The phantom units are settled upon vesting in common units (on a one for one basis) or cash, at the discretion of the Issuer.
- F325% of the phantom units vest of each of the first four anniversaries of February 23, 2015.
- F4The phantom units do not expire.
- F525% of the phantom units vest on each of the first four anniversaries of the February 19, 2014 grant date.