SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Perry Craig

(Last) (First) (Middle)
C/O ALPINE SUMMIT ENERGY PARTNERS, INC.
3322 WEST END AVE., SUITE 450

(Street)
NASHVILLE TN 37203

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ALPINE SUMMIT ENERGY PARTNERS, INC. [ ALPS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman & CEO
3. Date of Earliest Transaction (Month/Day/Year)
05/30/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Subordinate Voting Shares 05/30/2023 M 517,118 A (1) 677,931 D
Class A Subordinate Voting Shares 05/30/2023 M 14,901,450 A (1) 14,901,450 I Held by HB2 Energy, Inc.(2)
Class A Subordinate Voting Shares 05/30/2023 M 15,947 A (3) 14,917,397 I Held by HB2 Energy, Inc.(2)
Class A Subordinate Voting Shares 750,000 I Held by The Vila Monte Irrevocable Trust(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Non-Voting Units (1) 05/30/2023 M 517,118 (1) (1) Class A Subordinate Voting Shares 517,118 $0 0 D
Class B Non-Voting Units (1) 05/30/2023 M 14,901,450 (1) (1) Class A Subordinate Voting Shares 14,901,450 $0 545,841 I Held by HB2 Energy, Inc.(2)
Class C Proportionate Voting Shares (3) 05/30/2023 M 15,947 (3) (3) Class A Subordinate Voting Shares 15,947 $0 0 I Held by HB2 Energy, Inc.(2)
Explanation of Responses:
1. Represents Class B non-voting units of HB2 Origination, LLC, which are exchangeable at the option of the reporting person for Class A subordinate voting shares of the Issuer on a one-for-one basis.
2. The reporting person is the 100% owner of HB2 Energy, Inc.
3. Represents Class C proportionate voting shares. Each Class C proportionate voting share entitles the holder to vote the equivalent of 1,000 Class A subordinate voting shares and automatically convert into Class A subordinate voting shares of the Issuer on a 1:1 basis upon the occurrence of certain events. The Class C proportionate voting shares are not convertible at the election of the holder and may only be transferred with the consent of the board of directors.
4. The reporting person's spouse is the trustee and a beneficiary of The Vila Monte Irrevocable Trust.
/s/ Reagan Brown as attorney-in-fact for Craig Perry 06/01/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.