0000899243-19-026537.txt : 20191104 0000899243-19-026537.hdr.sgml : 20191104 20191104134342 ACCESSION NUMBER: 0000899243-19-026537 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191102 FILED AS OF DATE: 20191104 DATE AS OF CHANGE: 20191104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herbers Jeffrey A CENTRAL INDEX KEY: 0001542720 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36260 FILM NUMBER: 191189108 MAIL ADDRESS: STREET 1: 6120 SOUTH YALE AVENUE STREET 2: SUITE 805 CITY: TULSA STATE: OK ZIP: 74136 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cypress Energy Partners, L.P. CENTRAL INDEX KEY: 0001587246 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 BUSINESS PHONE: 918-748-3900 MAIL ADDRESS: STREET 1: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-11-02 0 0001587246 Cypress Energy Partners, L.P. CELP 0001542720 Herbers Jeffrey A C/O CYPRESS ENERGY PARTNERS, L.P. 5727 S. LEWIS AVENUE, SUITE 300 TULSA OK 74105 0 1 0 0 SEE REMARKS Common Units (Limited Partner Interests) 2019-11-02 4 M 0 3384 A 9159 D Common Units (Limited Partner Interests) 2019-11-02 4 F 0 994 9.61 D 8165 D Phantom Units (Limited Partner Interests) 2019-11-02 4 M 0 3384 D Common Units (Limited Partner Interests) 3384 6768 D The phantom units expire upon settlement. The phantom units are settled upon vesting in common units (on a one-for-one basis) or in cash, at the discretion of the Issuer. On November 2, 2016, the Reporting Person was granted 10,152 phantom units which vest in equal installments on November 2, 2019, 2020 and 2021, subject to the Reporting Person's continued service with the Issuer through the applicable vesting dates. The Reporting Person is Chief Financial Officer of Cypress Energy Partners GP, LLC, the general partner of the Issuer (the "General Partner"). The Issuer is managed by the directors and executive officers of the General Partner. /s/ Richard M. Carson, Attorney-in-Fact to Jeffrey A. Herbers 2019-11-04