0001357400-18-000192.txt : 20181226
0001357400-18-000192.hdr.sgml : 20181226
20181226154629
ACCESSION NUMBER: 0001357400-18-000192
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20181217
FILED AS OF DATE: 20181226
DATE AS OF CHANGE: 20181226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BORER MARK A
CENTRAL INDEX KEY: 0001237206
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38048
FILM NUMBER: 181252636
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Altus Midstream Co
CENTRAL INDEX KEY: 0001692787
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 814675947
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2000 POST OAK BOULEVARD
STREET 2: SUITE 100
CITY: HOUSTON
STATE: TX
ZIP: 77056-4400
BUSINESS PHONE: 713-296-6000
MAIL ADDRESS:
STREET 1: 2000 POST OAK BOULEVARD
STREET 2: SUITE 100
CITY: HOUSTON
STATE: TX
ZIP: 77056-4400
FORMER COMPANY:
FORMER CONFORMED NAME: Kayne Anderson Acquisition Corp
DATE OF NAME CHANGE: 20161220
4/A
1
f4aformab.xml
PRIMARY DOCUMENT
X0306
4/A
2018-12-17
2018-12-19
0
0001692787
Altus Midstream Co
ALTM
0001237206
BORER MARK A
2000 POST OAK BLVD, STE 100
HOUSTON
TX
77056
1
0
0
0
Restricted Stock / Units
0
2018-12-17
4
A
0
11037.
0
A
2021-12-17
Class A Common Stock
11037.
11037.
D
This amended Form 4 is being filed solely to attach a Power of Attorney for the Reporting Person that was inadvertently omitted from the original Form 4 filing.
Each restricted stock unit will vest in cash at the end of three (3) years.
Note: Also see attached Exhibit EX-24 Borer POA.
Raj Sharma, Attorney-in-Fact
2018-12-26
EX-24
2
markborerpoa19dec2018.txt
BORER POA
Power of Attorney
(Limited to Execution of Forms 4 and 5)
I, Mark A. Borer, do hereby constitute and appoint Rajesh Sharma and
Patrick Whitman (with full power to each of them to act alone) as my
true and lawful agents and attorneys-in-fact with full power and authority
to execute and deliver on my behalf in accordance with Securities and
Exchange Commission rules and regulations all reports of changes in my
beneficial ownership of securities issued by Altus Midstream Company
on Forms 4 and 5 as may be deemed advisable. I hereby ratify and confirm
all that each such agent and attorney-in-fact may do by virtue hereof with
respect to reports of my beneficial ownership of securities issued by
Altus Midstream Company.
This power of attorney shall remain in full force and effect until I am
no longer required to file Forms 4 and 5 with respect to changes in
attorneys-in-fact named above.
In witness whereof, I have duly executed this power of attorney on
the 19th day of December 2018.
/s/ Mark A. Borer
State of Texas
County of Harris
On this 19th day of December 2018, before me personally came Mark A. Borer,
to me known, and acknowledged this instrument.
Witness my hand and official seal.
/s/ Melinda Jenkins
[Seal for Melinda Jenkins]
[Notary Public, State of Texas]
[My Commission Expires 07-25-2020]