0001144204-15-070395.txt : 20151210 0001144204-15-070395.hdr.sgml : 20151210 20151210201254 ACCESSION NUMBER: 0001144204-15-070395 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151208 FILED AS OF DATE: 20151210 DATE AS OF CHANGE: 20151210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cypress Energy Partners, L.P. CENTRAL INDEX KEY: 0001587246 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LABASS DON CENTRAL INDEX KEY: 0001596780 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36260 FILM NUMBER: 151281979 MAIL ADDRESS: STREET 1: C/O CYPRESS ENERGY PARTNERS, L.P. STREET 2: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 4 1 v426749_4.xml OWNERSHIP DOCUMENT X0306 4 2015-12-08 0 0001587246 Cypress Energy Partners, L.P. CELP 0001596780 LABASS DON 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) 2015-12-08 4 P 0 2000 7.45 A 2000 D The Reporting Person is Vice President, Controller and Chief Accounting 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 Carson, Attorney-in-Fact for Don LaBass 2015-12-10