0001144204-18-020072.txt : 20180411
0001144204-18-020072.hdr.sgml : 20180411
20180411122541
ACCESSION NUMBER: 0001144204-18-020072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180409
FILED AS OF DATE: 20180411
DATE AS OF CHANGE: 20180411
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: 18749528
MAIL ADDRESS:
STREET 1: 1099 18TH STREET
STREET 2: SUITE 2300
CITY: DENVER
STATE: CO
ZIP: 80202
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
4
1
tv490835_4.xml
OWNERSHIP DOCUMENT
X0306
4
2018-04-09
0
0001587246
Cypress Energy Partners, L.P.
CELP
0001309336
Cornell Henry
C/O CYPRESS ENERGY PARTNERS, L.P.
5727 S. LEWIS AVENUE, SUITE 300
DENVER
CO
74105
1
0
0
1
SEE REMARKS
Phantom Units (Limited Partner Interests)
2018-04-09
4
A
0
8772
A
Common Units (Limited Partner Interests)
8772
8772
D
Each phantom unit is the economic equivalent of one common unit.
Vests in three substantially equal installments commencing on March 7, 2019, 2020 and 2021.
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.
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 M. Carson, Attorney-in-Fact for Henry Cornell
2018-04-11