SEC Form 4 · accession 0001513965-16-000241
American Midstream Partners, LP · AMID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tom L Brock
Officer — VP, CAO, Corporate Controller
Period of report
Aug 26, 2016
Accepted (ET)
Aug 29, 2016 · 5:26 pm EDT
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) | Aug 26, 2016 | M | 1,250 | $0.00 | A | 10,987 | D | |
| Common Units (limited partner interests) | Aug 26, 2016 | F | 400 | $12.00 | D | 10,587 | D | |
| Common Units (limited partner interests) | Aug 26, 2016 | M | 4,075 | $0.00 | A | 14,662 | D | |
| Common Units (limited partner interests) | Aug 26, 2016 | F | 1,304 | $12.00 | D | 13,358 | D | |
| Common Units (limited partner interests) | Aug 26, 2016 | M | 7,385 | $0.00 | A | 20,743 | D | |
| Common Units (limited partner interests) | Aug 26, 2016 | F | 2,362 | $12.00 | D | 18,381 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom unitsF1,F2 | — | Aug 26, 2016 | M | 1,250 | D | — | — | Common Units (limited partner interests) | 1,250 | 0 | D |
| Phantom unitsF1,F2 | — | Aug 26, 2016 | M | 4,075 | D | — | — | Common Units (limited partner interests) | 4,075 | 0 | D |
| Phantom unitsF1,F2 | — | Aug 26, 2016 | M | 7,385 | D | — | — | Common Units (limited partner interests) | 7,385 | 0 | D |
Explanation of responses
- F1The phantom units are settled upon vesting in common units (on a one for one basis) or cash, at the discretion of the Issuer.
- F2Phantom units have vested as a result of Mr. Brock's departure from the Issuer on 8-26-2016.