0001144204-17-014347.txt : 20170313 0001144204-17-014347.hdr.sgml : 20170313 20170313211046 ACCESSION NUMBER: 0001144204-17-014347 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170309 FILED AS OF DATE: 20170313 DATE AS OF CHANGE: 20170313 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cypress Energy Partners, L.P. CENTRAL INDEX KEY: 0001587246 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 BUSINESS PHONE: 918-748-3900 MAIL ADDRESS: STREET 1: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cornell Henry CENTRAL INDEX KEY: 0001309336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36260 FILM NUMBER: 17686786 MAIL ADDRESS: STREET 1: 1099 18TH STREET STREET 2: SUITE 2300 CITY: DENVER STATE: CO ZIP: 80202 4 1 v461743_4.xml OWNERSHIP DOCUMENT X0306 4 2017-03-09 0 0001587246 Cypress Energy Partners, L.P. CELP 0001309336 Cornell Henry C/O CYPRESS ENERGY PARTNERS, L.P. 5727 S. LEWIS AVENUE, SUITE 300 TULSA OK 74105 1 0 0 1 SEE REMARKS Common Units (Limited Partner Interests) 2017-03-10 4 M 0 1794 A 3536 D Phantom Units (Limited Partner Interests) 2017-03-09 4 A 0 4292 A Common Units (Limited Partner Interests) 4292 4292 D Phantom Units (Limited Partner Interests) 2017-03-10 4 M 0 1794 D Common Units (Limited Partner Interests) 1794 3588 D Each phantom unit is the economic equivalent of one common unit. Vests in three substantially equal installments commencing on March 9, 2018, 2019 and 2020. The phantom units expire upon settlement. The phantom units are settled upon vesting in common units (on a one-for-one basis) or in cash, at the discretion of the Issuer. On March 10, 2016, the Reporting Person was granted 5,382 phantom units which vest in three substantially equal installments commencing on March 10, 2017, 2018 and 2019. The Reporting Person is a director of Cypress Energy Partners GP, LLC, the general partner of the Issuer (the "General Partner"). The Issuer is managed by the directors and executive officers of the General Partner. /s/ Richard Carson, Attorney-in-Fact for Henry Cornell 2017-03-13