0001144204-16-113409.txt : 20160718
0001144204-16-113409.hdr.sgml : 20160718
20160718180817
ACCESSION NUMBER: 0001144204-16-113409
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160715
FILED AS OF DATE: 20160718
DATE AS OF CHANGE: 20160718
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: 161772202
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
v444433_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-07-15
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)
2016-07-15
4
M
0
1700
A
1700
D
Common Units (Limited Partner Interests)
2016-07-15
4
F
0
535
10.34
D
1165
D
Common Units (Limited Partner Interests)
2016-07-15
4
D
0
1165
10.34
D
0
D
Phantom Units (Limited Partner Interests)
2016-07-15
4
M
0
1700
D
Common Units (Limited Partner Interests)
1700
3400
D
Each phantom unit is the economic equivalent of one common unit.
On January 21, 2014, the Reporting Person was granted 5,100 phantom units which vest in three equal installments on each of July 15, 2016, 2017 and 2018.
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.
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 M. Carson, Attorney-in-Fact for Don LaBass
2016-07-18