SEC Form 4 · accession 0001637992-17-000002
CrossAmerica Partners LP · CAPL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Jeremy Bergeron
Officer — President · Director
Period of report
Apr 14, 2017
Accepted (ET)
Apr 17, 2017 · 4:34 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001538849
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common UnitsF1 | Apr 14, 2017 | M | 1,345 | — | A | 10,123 | D | |
| Common UnitsF2,F3 | Apr 14, 2017 | F | 634 | $25.72 | D | 9,489 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom UnitsF4,F5 | — | Apr 14, 2017 | M | 1,345 | D | Apr 14, 2017 | — | Common Units | 1,345 | 1,345 | D |
Explanation of responses
- F1Common units acquired upon vesting of phantom units issued in April 2015.
- F2Common units withheld in payment of the reporting person's tax withholding triggered by vesting.
- F3The closing price of CrossAmerica Partners LP common units on the trading day prior to the applicable date.
- F4Each phantom unit represents a contingent right to receive one share of the issuer's common unit.
- F5On April 14, 2015 the reporting person was granted 4,077 phantom units. The phantom units vest in three equal annual installments beginning on the first anniversary date of the grant date. Vested shares will be delivered on or as soon as reasonably practical following the applicable date of vesting, but in any event within sixty (60) days of the applicable date of vesting.