SEC Form 4 · accession 0001104659-16-092488
AZURE MIDSTREAM PARTNERS, LP · AZUR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roy E. Bertolatus
Officer — General Counsel
Period of report
Jan 23, 2016
Accepted (ET)
Jan 29, 2016 · 4:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001575599
Table I — non-derivative securities
No Table I lines on this filing.
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,F3 | — | Jan 23, 2016 | A | 17,500 | A | — | — | Common Units | 17,500 | 17,500 | D |
Explanation of responses
- F1Phantom units awarded under the Issuer's 2013 Long-Term Incentive Plan. Each phantom unit is the economic equivalent of one common unit of Azure Midstream Partners, LP and entitles the grantee to receive one common unit or an amount of cash equal to the fair market value of a common unit upon the vesting of the phantom unit.
- F2The phantom units shall vest in a single installment with such vesting in full to take place on July 18, 2016.
- F3Upon the termination of the Reporting Person's services for any reason during an applicble restricted period, all outstanding unvested phantom units held by such Reporting Person shall be automatically forfeited, unless such forfeiture is otherwise waived, in whole or in part, by the board of directors of Azure Midstream Partners GP, LLC, the general partner of the Issuer (the "General Partner").
Remarks
The Reporting Person is the General Counsel of the General Partner. The Issuer is managed by the directors and executives of the General Partner.