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