UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): December 17, 2012 (December 12, 2012)
Northern Tier Energy LP
(Exact name of registrant as specified in its charter)
Delaware | 001-35612 | 80-0763623 | ||
(State or other jurisdiction of incorporation or organization) |
(Commission File Number) |
(I.R.S. Employer Identification No.) | ||
38C Grove Street, Suite 100 Ridgefield, Connecticut |
06877 | |||
(Address of principal executive offices) | (Zip Code) |
Registrants telephone number, including area code: (203) 244-6550
Not Applicable.
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
¨ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
¨ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
¨ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
¨ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
ITEM 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
(e) The board of directors (the Board) of Northern Tier Energy GP LLC (the Company), the general partner of Northern Tier Energy LP (the Partnership) previously adopted the Northern Tier Energy 2012 Long Term Incentive Plan (the LTIP). The LTIP is maintained to, among other things, attract, retain and motivate certain employees and directors of the Partnership, the Company and their affiliates. On December 12, 2012, the Board, by unanimous written consent, approved a form of award agreement that will be used to grant restricted unit awards pursuant to the LTIP (the Restricted Unit Form). The summary description of the Restricted Unit Form below is qualified in its entirety by reference to the Restricted Unit Form filed as Exhibit 10.1 to this Form 8-K.
The Restricted Unit Form will set forth the number of restricted units each recipient may be entitled to receive, subject to certain forfeiture restrictions and any applicable vesting schedules. The Partnership may issue certificates in the restricted unit recipients name at the time of grant that will be held by the Partnership until all restrictions have been lifted from the award, or the Partnership may evidence the grant of restricted units with a notation in the Partnerships books. The restricted units will be granted with unit distribution rights, which means that in the event that the Partnership makes distributions with respect to its common units during the period of time that a restricted unit is outstanding, the holder of the restricted unit will receive a cash payment with respect to each restricted unit that is equal to the amount of the distribution that was made with respect to each common unit of the Partnership. If all restrictions imposed upon the restricted unit lapse, the award will be settled by an issuance of common units of the Partnership.
ITEM 9.01 Financial Statements and Exhibits.
(d) Exhibits
Exhibit No. |
Description of Exhibit | |
10.1 | Form of Restricted Unit Agreement |
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Northern Tier Energy LP | ||||
By: | Northern Tier Energy GP LLC, its general partner | |||
Date: December 17, 2012 | By: /s/ Peter T. Gelfman | |||
Peter T. Gelfman | ||||
Vice President, General Counsel and Secretary |
EXHIBIT INDEX
Exhibit No. |
Description of Exhibit | |
10.1 | Form of Restricted Unit Agreement |
Exhibit 10.1
NORTHERN TIER ENERGY LP
2012 LONG TERM INCENTIVE PLAN
RESTRICTED UNIT AGREEMENT
(Employees)
Employee: | Date of Grant: |
Number of Restricted Units: |
This Restricted Unit Agreement (this Agreement) is made as of [Date] between Northern Tier Energy LP, a Delaware limited partnership (the Partnership), and (the Employee) pursuant to the terms and conditions of the Northern Tier Energy LP 2012 Long Term Incentive Plan (the Plan). The Employee acknowledges receipt of a copy of the Plan, and agrees that the terms and provisions of the Plan, including any future amendments thereto, shall be deemed a part of this Agreement as if fully set forth herein. Capitalized terms used in this Agreement but not otherwise defined herein shall have the meanings ascribed to such terms in the Plan, unless the context requires otherwise.
WHEREAS, the Partnership, acting through the Board of its General Partner, has adopted the Plan to, among other things, attract, retain and motivate certain employees and directors of the Partnership, the General Partner and their respective Affiliates (each, a Company Entity and, collectively, the Company Entities); and
WHEREAS, the Partnership desires to grant to the Employee on the terms and conditions set forth herein and in the Plan, and the Employee desires to accept on such terms and conditions, the number of Restricted Units set forth herein.
NOW, THEREFORE, in consideration of the Employees agreement to provide or to continue providing services for the benefit of the Company Entities, the Partnership and the Employee agree as follows:
1. Grant of Restricted Units. The Partnership hereby grants to the Employee, effective as of (the Date of Grant), Restricted Units, subject to all of the terms and conditions set forth in the Plan and in this Agreement (the Restricted Units).
2. Forfeiture Restrictions. The Restricted Units may not be sold, assigned, pledged, exchanged, hypothecated, or otherwise transferred, encumbered, or disposed of to the extent then subject to the Forfeiture Restrictions (as defined below). The prohibition against transfer and the obligation to forfeit the Restricted Units to the Partnership upon termination of employment are referred to herein as the Forfeiture Restrictions.
3. Rights of Employee. The Restricted Units shall be evidenced either (a) by certificates issued in the Employees name that are retained by the Partnership until the Restricted Units are no longer subject to the Forfeiture Restrictions or are forfeited or (b) in book entry form by the Partnerships transfer agent with a notation that they are subject to restrictions.
Notwithstanding the foregoing, the Employee shall have all voting rights, if any, with respect to the Restricted Units and the right to receive any Unit Distribution Rights thereon. Any Unit Distribution Rights payments will be made to the Employee on or promptly following the date on which the distributions are otherwise paid to the holders of Units; provided, however, in no event shall the distribution payment be made later than 30 days following the date on which the Company pays such distributions to the holders of Units generally; provided, further, however, that, notwithstanding the date of payment of any such Unit Distribution Rights to the Employee, the Employee shall vest in such Unit Distribution Right as of the record date for such distribution. No interest will accrue on any Unit Distribution Rights between the issuance of the distribution to Unit holders generally and the settlement of the Unit Distribution Right. Notwithstanding the preceding provisions of this Section 3, the Restricted Units shall be subject to all of the restrictions described herein, including, without limitation, the Forfeiture Restrictions.
4. Vesting of Restricted Units. Except as otherwise provided in this Agreement, the Restricted Units will vest in accordance with the vesting schedule set forth in the following table, provided that the Employee remains continuously employed by a Company Entity from the Date of Grant through each vesting date set forth below (each, a Vesting Date):
Vesting Date |
Cumulative Vested Percentage | |||
One Year Anniversary of Date of Grant |
33 1/3 | % | ||
Two Year Anniversary of Date of Grant |
66 2/3 | % | ||
Three Year Anniversary of Date of Grant |
100 | % |
If, on any Vesting Date, the application of the vesting schedule set forth above results in a fractional Restricted Unit becoming vested, the number of Restricted Units vesting on such date shall be rounded up to the next whole number of Restricted Units. Restricted Units that have become vested pursuant to the schedule above are referred to herein as Vested Units.
5. Termination and Change of Control.
(a) Termination of Employment Generally. Unless otherwise noted in this Section 5, in the event that the Employees termination of employment with the Company Entities occurs for any reason prior to the time that the Restricted Units have become Vested Units, any unvested Restricted Unit (after having given effect to any provision below for the acceleration of the Restricted Units) shall be forfeited immediately without consideration.
(b) Termination of Employment due to Death and Disability. In the event that the Employees termination of employment with the Company Entities occurs due to the Employees death or Disability (as defined below) prior to the time that the Restricted Units have become Vested Units, the tranche of Restricted Units that would have become Vested Units upon the Vesting Date that immediately follows the date of the Employees termination of employment will be immediately accelerated and become Vested Units.
2
(c) Termination of Employment without Cause or Good Reason. In the event that the Employee is terminated by one of the Company Entities without Cause (as defined below), or by the Employee for Good Reason (as defined below), prior to the time that the Restricted Units have become Vested Units, the tranche of Restricted Units that would have become Vested Units upon the Vesting Date that immediately follows the date of the Employees termination of employment will be immediately accelerated and become Vested Units.
(d) Termination of Employment in Connection with a Change of Control. In the event that the Employee is terminated by one of the Company Entities without Cause (as defined below), or by the Employee for Good Reason (as defined below), each within the twelve (12) month period immediately following the consummation of a Change of Control, all unvested Restricted Units shall immediately be accelerated and become Vested Units.
(e) Definitions. For purposes of this Section 5, the terms Cause, Disability and Good Reason shall be defined as such terms are set forth in the Employees individual offer letter, employment, severance or other similar individual agreement by and between the Employee and any of the Company Entities (the Individual Agreement). If the Individual Agreement does not define the applicable term or the Employee does not have an Individual Agreement, the terms Cause, Disability and Good Reason shall have the meaning set forth below:
(i) Cause shall mean (A) the continuous failure by the Employee to substantially perform his or her duties with the Company Entities (other than any such failure resulting from the Employees incapacity due to physical or mental illness) following the Employees being advised of such failure and having a reasonable opportunity to cure his or her performance failure; (B) the Employees gross misconduct or gross negligence; or (C) the Employees conviction of, or entrance of a plea of, guilty or nolo contendere to the commission of a felony.
(ii) Disability shall have the same meaning set forth for such term in the Partnerships then-current long-term disability plan.
(iii) Good Reason shall mean (A) a material diminution in the Employees position, duties or responsibilities with the Company Entities, a diminution in the Employees title or offices with the Company Entities or any removal of the Employee from, or any failure to reelect Employee to, any of such positions; (B) a reduction by the Company in Employees base salary or target incentive opportunity; (C) a material reduction in the aggregate of the benefits provided under the Company Entities employee benefit plans; or (D) without the Employees previous written consent, the relocation of the Employees principal place of business to a location that is more than forty (40) miles from the Employees principal place of employment as of the Date of Grant; provided, however, that the Employee must provide notice of any of the preceding conditions that could give rise to a Good Reason termination within ninety (90) days of the occurrence of the event, and the Company Entities shall have a period of thirty (30) days after receipt of such notice to correct the situation or event.
3
6. Transferability and Assignment. This Agreement and the Restricted Units granted hereunder will not be transferable by the Employee other than by will or the laws of descent and distribution. Any purported transfer, assignment, alienation, pledge, hypothecation, attachment, sale, transfer or encumbrance shall be null, void and unenforceable against the Company Entities.
7. Delivery and Status of Units and Unit Distribution Rights. Promptly following the expiration of the restrictions on the Restricted Units as contemplated by this Agreement, subject to the remainder of this Section 7, the Partnership shall cause to be issued and delivered to the Employee the number of Vested Units as to which all restrictions have lapsed, free of any restrictive legend relating to the lapsed restrictions, and shall pay to the Employee any previously unpaid Unit Distribution Rights, if any, with respect to such delivered Units. The Employee agrees that any Vested Units that he acquires upon vesting of the Restricted Units will not be sold or otherwise disposed of in any manner that would constitute a violation of any applicable federal or state securities laws, the Plan or the rules, regulations and other requirements of the SEC and any stock exchange upon which the Units are then listed. The Employee also agrees that (a) any certificates representing the Units acquired under this award may bear such legend or legends as the Committee deems appropriate in order to assure compliance with applicable securities laws, (b) the Partnership may refuse to register the transfer of the Units acquired under this award with the Partnerships transfer agent if such proposed transfer would, in the opinion of counsel satisfactory to the Partnership, constitute a violation of any applicable securities law, and (c) the Partnership may give related instructions to its transfer agent, if any, to stop registration of the transfer of the Units to be acquired under this award. In addition to the terms and conditions provided herein, the Partnership may require that the Employee make such covenants, agreements, and representations as the Committee, in its sole discretion, deems advisable in order to comply with any such laws, rules, regulations, or requirements.
8. Tax Withholding. The Company Entities shall have the authority and the right to deduct or withhold, or to require the Employee to remit to a Company Entity, an amount sufficient to satisfy all applicable federal, state and local taxes (including the Employees employment tax obligations) required by law to be withheld with respect to any taxable event arising in connection with the Restricted Units and the Unit Distribution Rights thereon. In satisfaction of the foregoing requirement, unless either (a) other arrangements have been made that are acceptable to the applicable Company Entity or (b) the Board or a committee of the Board that is composed solely of two or more Non-Employee Directors within the meaning of Rule 16b-3, the Employee shall surrender the number of Units otherwise issuable to him having a fair market value equal to the sums required to be withheld by the applicable Company Entity. In the event that Units that would otherwise be issued in respect of the Restricted Units are surrendered to satisfy such withholding obligations, the number of Units that shall be so surrendered shall be limited to the number of Units that have a Fair Market Value on the date of such surrender equal to the aggregate amount of such liabilities based on the minimum statutory withholding rates for federal, state, local and foreign income tax and payroll tax purposes that are applicable to such supplemental taxable income.
4
9. General Provisions.
(a) Administration. This Agreement shall at all times be subject to the terms and conditions of the Plan. The Committee shall have sole and complete discretion with respect to all matters reserved to it by the Plan and all decisions of a majority of the Committee with respect thereto and this Agreement shall be final and binding upon the Employee and the Partnership. In the event of any conflict between the terms and conditions of this Agreement and the Plan, the provisions of the Plan shall control.
(b) No Effect on Service. Nothing in this Agreement or in the Plan shall be construed as giving the Employee the right to be retained in the employ or service of the Company Entities. Furthermore, the Company Entities may at any time dismiss the Employee from employment free from any liability or any claim under the Plan or this Agreement, unless otherwise expressly provided in the Plan, this Agreement or other written agreement.
(c) Tax Consultation. None of the Board, the Committee or the Company Entities has made any warranty or representation to the Employee with respect to the income tax consequences of the grant or vesting of the Restricted Units or the transactions contemplated by this Agreement, and the Employee represents that he is in no manner relying on such entities or any of their respective managers, directors, officers, employees or authorized representatives (including attorneys, accountants, consultants, bankers, lenders, prospective lenders and financial representatives) for tax advice or an assessment of such tax consequences. The Employee represents that he has consulted with any tax consultants that the Employee deems advisable in connection with the Restricted Units. The Employee may, at the Employees discretion, make a tax election pursuant to Section 83(b) of the Code in connection with the grant of this Award (the Section 83(b) Election), and a form of a Section 83(b) Election has been attached to this Agreement as Exhibit A for the Employees convenience. The Employee acknowledges that the filing of a Section 83(b) Election is extremely time sensitive and, if the Employee decides to make such an election, such election must be filed with the Service Center of the Internal Revenue Service where you file your Internal Revenue Service tax returns WITHIN 30 DAYS OF THE Date of Grant. In the event that the Employee makes a Section 83(b) Election, the Employee shall promptly provide a copy of the Section 83(b) Election form to the Company Entities. The Employee further agrees to indemnify and hold each Company Entity harmless for any damages, costs, expenses, taxes, judgments or other actions or amounts resulting from the for any actions or inactions of the Employee with respect to the tax consequences of the Restricted Units.
(d) Severability. If any provision of this Agreement is held to be illegal or invalid for any reason, the illegality or invalidity shall not affect the remaining provisions hereof, but such provision shall be fully severable and this Agreement shall be construed and enforced as if the illegal or invalid provision had never been included herein.
(e) Successors. This Agreement shall be binding upon the Employee, the Employees legal representatives, heirs, legatees and distributees, and upon the Partnership, its successors and assigns.
(f) Entire Agreement. This Agreement constitutes the entire agreement of the parties with regard to the subject matter hereof, and contains all the covenants, promises, representations, warranties and agreements between the parties with respect to the Restricted Units granted hereby. Without limiting the scope of the preceding sentence, all prior understandings and agreements, if any, among the parties hereto relating to the subject matter hereof are hereby null and void and of no further force and effect.
5
(g) Headings. The titles and headings of Sections are included for convenience of reference only and are not to be considered in construction of the provisions hereof.
(h) Governing Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of Delaware, without regard to conflicts of law principles thereof.
(i) Gender. Words used in the masculine shall apply to the feminine where applicable, and wherever the context of this Agreement dictates, the plural shall be read as the singular and the singular as the plural.
(j) Amendments, Suspension and Termination. This Agreement may be wholly or partially amended or otherwise modified, suspended or terminated at any time or from time to time by the Board or the Committee (i) to the extent permitted by the Plan, (ii) to the extent necessary to comply with applicable laws and regulations or to conform the provisions of this Agreement to any changes thereto or (iii) to settle the Restricted Units pursuant to all applicable provisions of the Plan. Except as provided in the preceding sentence, this Agreement cannot be modified, altered or amended in any way that is adverse to the Employee except by a written agreement signed by both the Partnership and the Employee.
(k) Insider Trading Policy. The terms of the Partnerships insider trading policy with respect to Units are incorporated herein by reference.
(l) Clawback. Notwithstanding any provisions in the Plan or this Agreement to the contrary, any portion of the payments and benefits provided under this Agreement or the sale of the Units granted hereunder shall be subject to a clawback or other recovery by the Company Entities to the extent necessary to comply with applicable law including, without limitation, the requirements of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 or any SEC rule.
(m) Community Interest of Spouse. The Employees spouse shall be required to execute the spousal consent set forth on the signature page attached hereto to evidence such spouses agreement and consent to be bound by the terms and conditions of this Agreement and the Plan as to such spouses interest, whether as community property or otherwise, if any, in the Restricted Units granted to the Employee hereunder.
(n) Consent to Electronic Delivery; Electronic Signature. In lieu of receiving documents in paper format, the Employee agrees, to the fullest extent permitted by law, to accept electronic delivery of any documents that the Partnership may be required to deliver (including, without limitation, prospectuses, prospectus supplements, grant or award notifications and agreements, account statements, annual and quarterly reports, and all other forms of communications) in connection with this and any other award made or offered by the Partnership. Electronic delivery may be via a Partnership electronic mail system or by reference to a location on a Partnership intranet to which the Employee has access. The Employee hereby
6
consents to any and all procedures the Partnership has established or may establish for an electronic signature system for delivery and acceptance of any such documents that the Partnership may be required to deliver, and agrees that his or her electronic signature is the same as, and shall have the same force and effect as, his or her manual signature.
[Signature Page Follows]
7
IN WITNESS WHEREOF, the Partnership has caused this Agreement to be executed by its duly authorized officer, effective for all purposes as provided above.
NORTHERN TIER ENERGY LP | ||||
By: | ||||
Name: | ||||
Title: | ||||
EMPLOYEE | ||||
SPOUSAL CONSENT
The Employees spouse, if any, is fully aware of, understands and fully consents and agrees to the provisions of this Agreement and the Plan and their binding effect upon any marital or community property interests he or she may now or hereafter own, and agrees that the termination of his or her and the Employees marital relationship for any reason shall not have the effect of removing any Units otherwise subject to this Agreement from coverage hereunder and that his or her awareness, understanding, consent and agreement are evidenced by his or her signature below.
SIGNATURE PAGE
TO
RESTRICTED UNIT AGREEMENT
Exhibit A
Section 83(b) Election Form
Directions:
1. | Fill in any omitted information on this election form. |
2. | Sign and date the form and return one copy electronically to [Company Rep], at [Contact information]. |
3. | Mail a copy of the form to the Service Center where you file your Internal Revenue Service tax returns WITHIN 30 DAYS OF THE RECEIPT of the property. |
4. | Attach one copy of the form to your income tax return for the calendar year 2012. |
A-1
Election to Include in
Taxable Income in Year of Transfer Pursuant
to Section 83(b) of the Internal Revenue Code
The undersigned hereby makes an election pursuant to Section 83(b) of the Internal Revenue Code with respect to the property described below and supplies the following information in accordance with the regulations promulgated thereunder:
1. | The name, address and taxpayer identification number of the undersigned are: |
Name:
Address:
Taxpayer Identification Number:
5. | Description of the property with respect to which the election is being made: |
Restricted common units (Restricted Units) of Northern Tier Energy LP (the Company)
6. | The date on which the property was transferred is [Date]. |
The taxable year to which this election relates is calendar year 2012.
7. | Nature of the restrictions to which the property is subject: |
The Units issued to the taxpayer are currently subject to a risk of forfeiture. This risk of forfeiture will lapse [with respect to one-third of the Restricted Units on each anniversary of the date of grant of the Restricted Units, subject to the taxpayers continued employment with the Company or its affiliates. The risk of forfeiture will also lapse with respect to a portion of the Restricted Units upon the taxpayers termination of employment due to a death or disability, or with respect to all then-unvested Restricted Units upon certain terminations of employment that occur in connection with a change in control of the Company.]
8. | The fair market value at the time of transfer (determined without regard to any restriction other than a restriction which by its terms will never lapse) of the property with respect to which this election is being made is $[x]. |
9. | The amount paid by the taxpayer for said property is $0. |
10. | A copy of this statement has been furnished to the Company as provided in Treasury Regulation Section 1.83-2(d). |
A-2
Date: , 2012 |
| |
[Taxpayer name] | ||
Date: , 2012 |
| |
[Spouses Name, if applicable] | ||
Taxpayers Spouse |
A-3