0001357400-18-000197.txt : 20181226
0001357400-18-000197.hdr.sgml : 20181226
20181226170611
ACCESSION NUMBER: 0001357400-18-000197
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20181221
FILED AS OF DATE: 20181226
DATE AS OF CHANGE: 20181226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Purgason Robert S
CENTRAL INDEX KEY: 0001308543
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38048
FILM NUMBER: 181253131
MAIL ADDRESS:
STREET 1: 2818 S. VICTOR AVENUE
CITY: TULSA
STATE: OK
ZIP: 74114
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
1
f4forprs.xml
PRIMARY DOCUMENT
X0306
4
2018-12-21
0
0001692787
Altus Midstream Co
ALTM
0001308543
Purgason Robert S
2000 POST OAK BLVD, STE 100
HOUSTON
TX
77056
1
0
0
0
Director
Common Stock
2018-12-21
4
J
0
418904.
0
A
418904.
D
Common Stock
2018-12-21
4
J
0
100000.
0
A
518904.
D
Warrents (right to buy)
11.50
2018-12-21
4
J
0
497210.
0
A
2018-12-09
2023-11-09
Class A Common Stock
497210.
497210.
D
Pro rata distribution from Kayne Anderson Sponsor, LLC to its members.
Pro rata distribution from Kayne Anderson SPAC, LLC to its members.
Note: Also see attached Exhibit EX-24 Purgason POA.
Raj Sharma, Attorney-in-Fact
2018-12-26
EX-24
2
robertspurgasonpoa19dec2018.txt
PURGASON POA
Power of Attorney
(Limited to Execution of Forms 4 and 5)
I, Robert S. Purgason, 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 Exchan
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 my
beneficial ownership of securities issued by Altus Midstream Company,
unless earlier revoked by me in writing delivered to the
attorneys-in-fact named above.
In witness whereof, I have duly executed this power of attorney
on the 21st day of December 2018.
/s/ Robert S. Purgason
State of Texas
County of Harris
On this 21st day of December 2018, before me personally came Robert
S. Purgason, 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]