0001357400-18-000189.txt : 20181219
0001357400-18-000189.hdr.sgml : 20181219
20181219144410
ACCESSION NUMBER: 0001357400-18-000189
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: Johnson Charles Douglas
CENTRAL INDEX KEY: 0001547330
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38048
FILM NUMBER: 181243210
MAIL ADDRESS:
STREET 1: 600 N. DAIRY ASHFORD
CITY: HOUSTON
STATE: TX
ZIP: 77079
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
f4forjcd.xml
PRIMARY DOCUMENT
X0306
4
2018-12-17
0
0001692787
Altus Midstream Co
ALTM
0001547330
Johnson Charles Douglas
2000 POST OAK BLVD, STE 100
HOUSTON
TX
77056
1
0
0
0
Restricted Stock / Units
0
2018-12-17
4
A
0
11037.
0
A
2021-12-17
Class A Common Stock
11037.
11037.
D
Each restricted stock unit will vest in cash at the end of three (3) years.
Note: Also see attached Exhibit EX-24 POA.
Raj Sharma, Attorney-in-Fact
2018-12-19
EX-24
2
douglasjohnsonpoaforms34and5.txt
POA
Power of Attorney
(Limited to Execution of Forms 3, 4 and 5)
I, C. Douglas Johnson, 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 report
s 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
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 8th day of November 2018.
/s/ C. Douglas Johnson
State of Texas
County of Harris
On this 8th day of November 2018, before me personally came C. Douglas
Johnson, 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]