0001513965-19-000046.txt : 20190403 0001513965-19-000046.hdr.sgml : 20190403 20190403211418 ACCESSION NUMBER: 0001513965-19-000046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190401 FILED AS OF DATE: 20190403 DATE AS OF CHANGE: 20190403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dorey Louis J CENTRAL INDEX KEY: 0001599183 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35257 FILM NUMBER: 19731006 MAIL ADDRESS: STREET 1: 1614 15TH STREET STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: American Midstream Partners, LP CENTRAL INDEX KEY: 0001513965 STANDARD INDUSTRIAL CLASSIFICATION: NATURAL GAS TRANSMISSION [4922] IRS NUMBER: 270855785 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2103 CITY WEST BLVD., BLDG 4 STREET 2: SUITE 800 CITY: HOUSTON STATE: TX ZIP: 77042 BUSINESS PHONE: (713) 815-3900 MAIL ADDRESS: STREET 1: 2103 CITY WEST BLVD., BLDG 4 STREET 2: SUITE 800 CITY: HOUSTON STATE: TX ZIP: 77042 4 1 wf-form4_155434043796880.xml FORM 4 X0306 4 2019-04-01 0 0001513965 American Midstream Partners, LP AMID 0001599183 Dorey Louis J 2103 CITYWEST BLVD. BUILDING 4, SUITE 800 HOUSTON TX 77042 0 1 0 0 Senior Vice President Common Units (limited partner interests) 2019-04-01 4 M 0 4398 0 A 61704 D Common Units (limited partner interests) 2019-04-01 4 M 0 6365 0 A 68069 D Phantom units 2019-04-01 4 M 0 4398 0 D Common Units (limited partner interests) 4398.0 8797 D Phantom units 2019-04-01 4 M 0 6365 0 D Common Units (limited partner interests) 6365.0 19098 D Phantom units Common Units (limited partner interests) 12104.0 12104 D Phantom units Common Units (limited partner interests) 60000.0 60000 D The phantom units were settled upon vesting in common units (on a one for one basis). The phantom units are settled upon vesting in common units (on a one for one basis) or cash, at the discretion of the Issuer. Twenty-five percent (25%) of the phantom units will vest on each of the first four anniversaries of April 1, 2017. The phantom units do not expire. Twenty-five percent (25%) of the units will vest on each of the first four anniversaries of April 1, 2018. Twenty-five percent (25%) of the phantom units vest on the first four anniversaries of February 26, 2016. Each phantom unit represents the right to receive between one and three common units of the Issuer upon vesting. The phantom units will generally vest, subject to the Reporting Person's continued service through such date, on the earlier of a change in control transaction or November 20, 2022. Represents the target number of common units that may be issued. The actual number of common units issuable upon vesting can range from 100% to 300% of this target and will be determined by multiplying the target award by the quotient of the fair market value of a common unit on the vesting date divided by $16.50 and rounded to two significant figures. Upon vesting, the phantom units may be settled in common units of the Issuer or cash at the discretion of the Issuer. /s/ Christopher B. Dial, Attorney-in-Fact for Louie J. Dorey 2019-04-03