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