0001357400-18-000185.txt : 20181219
0001357400-18-000185.hdr.sgml : 20181219
20181219124849
ACCESSION NUMBER: 0001357400-18-000185
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20181217
FILED AS OF DATE: 20181219
DATE AS OF CHANGE: 20181219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ricotta Dominic
CENTRAL INDEX KEY: 0001684864
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38048
FILM NUMBER: 181242934
MAIL ADDRESS:
STREET 1: C/O APACHE CORPORATION
STREET 2: 2000 POST OAK BLVD, STE 100
CITY: HOUSTON
STATE: TX
ZIP: 77056
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Altus Midstream Co
CENTRAL INDEX KEY: 0001692787
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 814675947
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2000 POST OAK BOULEVARD
STREET 2: SUITE 100
CITY: HOUSTON
STATE: TX
ZIP: 77056-4400
BUSINESS PHONE: 713-296-6000
MAIL ADDRESS:
STREET 1: 2000 POST OAK BOULEVARD
STREET 2: SUITE 100
CITY: HOUSTON
STATE: TX
ZIP: 77056-4400
FORMER COMPANY:
FORMER CONFORMED NAME: Kayne Anderson Acquisition Corp
DATE OF NAME CHANGE: 20161220
4
1
f4forrd.xml
PRIMARY DOCUMENT
X0306
4
2018-12-17
0
0001692787
Altus Midstream Co
ALTM
0001684864
Ricotta Dominic
2000 POST OAK BLVD, STE 100
HOUSTON
TX
77056
0
1
0
0
SVP, Human Resources
Class A Common Stock
2018-12-17
4
J
0
10000.
0
A
10000.
D
Pro rata distribution of Class A Common Stock from Altus SPAC Investments, LLC to its members.
Note: Also see attached Exhibit EX-24 POA.
Raj Sharma, Attorney-in-Fact
2018-12-19
EX-24
2
nickricottapoaforms34and5.txt
POA
Power of Attorney
(Limited to Execution of Forms 3, 4 and 5)
I, Dominic (Nick) Ricotta, do hereby constitute and appoint Rajesh Sharma and
Patrick Whitman (with full power to each of them to act alone) as my true and
lawful agents and attorneys-in-fact with full power and authority to execute
and deliver on my behalf in accordance with Securities and Exchange Commission
rules and regulations all reports of changes in my beneficial ownership of
securities issued by Altus Midstream Company on Forms 3, 4 and 5 as may be
deemed advisable. I hereby ratify and confirm all that each such agent and
attorney-in-fact may do by virtue hereof with respect to reports of my
beneficial ownership of securities issued by Altus Midstream Company.
This power of attorney shall remain in full force and effect until I am
no longer required to file Forms 3, 4 and 5 with respect to changes in my
beneficial ownership of securities issued by Altus Midstream Company,
unless earlier revoked by me in writing delivered to the attorneys-in-fact
named above.
In witness whereof, I have duly executed this power of attorney effective
as of this 14th day of November 2018.
/s/ Dominic Ricotta
State of Texas
County of Harris
On this 14th day of November 2018, before me personally came Dominic (Nick)
Ricotta, to me known, and acknowledged this instrument.
Witness my hand and official seal.
/s/ Tanika Law
[Seal for Tanika Law]
[Notary Public, State of Texas]
[My Commission Expires 09-18-2020]