SEC Form 4 · accession 0001513965-16-000278
American Midstream Partners, LP · AMID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William B. Mathews
Officer — SVP and Assistant Secretary
Period of report
Oct 14, 2016
Accepted (ET)
Oct 18, 2016 · 7:43 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) | Oct 14, 2016 | M | 4,983 | $0.00 | A | 66,088 | D | |
| Common Units (limited partner interests) | Oct 14, 2016 | M | 10,114 | $0.00 | A | 76,202 | D | |
| Common Units (limited partner interests) | Oct 14, 2016 | M | 23,330 | $0.00 | A | 99,532 | 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 | — | Oct 14, 2016 | M | 4,983 | D | — | — | Common Units (limited partner interests) | 4,983 | 0 | D |
| Phantom unitsF1,F2 | — | Oct 14, 2016 | M | 10,114 | D | — | — | Common Units (limited partner interests) | 10,114 | 0 | D |
| Phantom unitsF1,F2 | — | Oct 14, 2016 | M | 23,330 | D | — | — | Common Units (limited partner interests) | 23,330 | 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.
- F2The Phantom Units have vested due to Mr. Mathews departure from the Issuer on October, 14, 2016