0001209191-16-093257.txt : 20160122
0001209191-16-093257.hdr.sgml : 20160122
20160122174948
ACCESSION NUMBER: 0001209191-16-093257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160120
FILED AS OF DATE: 20160122
DATE AS OF CHANGE: 20160122
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: Buhrig Melissa M
CENTRAL INDEX KEY: 0001607248
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35612
FILM NUMBER: 161357093
MAIL ADDRESS:
STREET 1: C/O NORTHERN TIER ENERGY LP
STREET 2: 1250 W.WASHINGTON STREET
CITY: TEMPE
STATE: AZ
ZIP: 82581
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-01-20
0
0001533454
Northern Tier Energy LP
NTI
0001607248
Buhrig Melissa M
C/O NORTHERN TIER ENERGY LP
1250 W. WASHINGTON STREET, SUITE 300
TEMPE
AZ
85281
0
1
0
0
Exec VP, General Counsel & Sec
Common Unit
2016-01-20
4
M
0
14525
0.00
A
21201
D
Common Unit
2016-01-20
4
S
0
4901
24.3274
D
16300
D
Phantom Unit
2016-01-20
4
M
0
14525
0.00
D
Common Units
14525
18960
D
Phantom Unit
2016-01-20
4
A
0
12108
0.00
A
Common Units
12108
31068
D
These common units were issued pursuant to a phantom unit award granted to the reporting person on May 15, 2014 (the "2014 Phantom Unit Award"), and January 21, 2015 (the "2015 Phantom Unit Award"), settled, at the election of the Compensation Committee of the Board of Directors (the "Board") of Northern Tier Energy GP LLC ("NTI GP"), the general partner of NTI, in NTI common units.
This sale was made pursuant to a previous election made by the reporting person for the payment of income taxes required to be paid to the Internal Revenue Service as a result of the vesting of the 2014 Phantom Unit Award and the 2015 Phantom Unit Award previously granted to the reporting person as compensation for services as an officer.
The reporting person hereby undertakes to provide upon request by the SEC staff, the issuer, or any security holder of the issuer, full information regarding the number of common units sold at each separate price.
$24.3274 is the weighted average sale price. The units were sold in various transactions through a broker at prices between $24.2300 per unit and $24.4700 per unit.
Each phantom unit represents a contingent right to receive one common unit representing a limited partner interest in NTI or, at the election of the Board, or such Committee as may be appointed by the Board, the cash value thereof. The phantom units were awarded as compensation for services as an officer of NTI GP.
The phantom units vest ratably on the third Wednesday of January in each of the three years following the date of grant. The vested common units underlying the phantom units, or the cash value thereof, will be delivered to the reporting person on or promptly following the vesting date applicable thereto, but not later than the 70th calendar day following the vesting of the phantom units.
This number of derivative securities includes 10,091 phantom units that remain outstanding pursuant to the 2014 Phantom Unit Award and 8,869 phantom units that remain outstanding pursuant to the 2015 Phantom Unit Award.
This number of derivative securities includes (a) 10,091 phantom units that remain outstanding pursuant to the 2014 Phantom Unit Award; (b) 8,869 phantom units that remain outstanding pursuant to the 2015 Phantom Unit Award; and (c) 12,108 phantom units that remain outstanding pursuant to the phantom unit award granted to the reporting person on January 20, 2016.
/s/ Melissa M. Buhrig
2016-01-22