0000899243-16-023690.txt : 20160627
0000899243-16-023690.hdr.sgml : 20160627
20160627202140
ACCESSION NUMBER: 0000899243-16-023690
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160623
FILED AS OF DATE: 20160627
DATE AS OF CHANGE: 20160627
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Northern Tier Energy LP
CENTRAL INDEX KEY: 0001533454
STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911]
IRS NUMBER: 800763623
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1250 W. WASHINGTON STREET
STREET 2: SUITE 300
CITY: TEMPE
STATE: AZ
ZIP: 85281
BUSINESS PHONE: (602) 302-5450
MAIL ADDRESS:
STREET 1: 1250 W. WASHINGTON STREET
STREET 2: SUITE 300
CITY: TEMPE
STATE: AZ
ZIP: 85281
FORMER COMPANY:
FORMER CONFORMED NAME: Northern Tier Energy, Inc.
DATE OF NAME CHANGE: 20111025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Davis Karen Berriman
CENTRAL INDEX KEY: 0001358598
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35612
FILM NUMBER: 161734528
MAIL ADDRESS:
STREET 1: 123 WEST MILLS AVENUE
STREET 2: SUITE 200
CITY: EL PASO
STATE: TX
ZIP: 79901
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-06-23
0
0001533454
Northern Tier Energy LP
NTI
0001358598
Davis Karen Berriman
C/O NORTHERN TIER ENERGY LP,
1250 W WASHINGTON ST, SUITE 300
TEMPE
AZ
85281
0
1
0
0
Executive VP and CFO
Common Units
2016-06-23
4
D
0
3466
D
0
D
Phantom Units
2016-06-23
4
D
0
23953
0.00
D
Common Units
23953
0
D
The transaction reported occurred in connection with the merger of the Issuer with a wholly-owned subsidiary of Western Refining, Inc. ("WNR"), effective June 23, 2016. On June 23, 2016, the last trading day for the common units of the Issuer, the closing price of the common units of the Issuer was $21.15 per unit and the closing price of WNR's common stock was $20.25. Each common unit of the Issuer held by the reporting person was converted into the right to receive, at her election but subject to proration, (i) $15.00 in cash without interest and 0.2986 of a share of WNR common stock, (ii) $26.06 in cash without interest or (iii) 0.7036 of a share of WNR common stock.
The time-based phantom units of the Issuer held by the reporting person immediately prior to the effective time of the merger were cancelled in connection with the merger. The Issuer did not provide value as consideration for the cancellation. The reporting person received comparable WNR equity awards in connection with the merger
/s/ Karen B. Davis
2016-06-27