SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Altus Midstream Co [ ALTM ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 12/21/2018 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) 12/26/2018 | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
CLASS A COMMON STOCK | 12/21/2018 | J(1) | 2,000,000 | D | $7.63 | 14,318,000 | I | See Footnote | ||
CLASS A COMMON STOCK | 12/21/2018 | J(1) | 756,661 | A | $7.63 | 956,661 | D(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
WARRANTS | $10 | 12/21/2018 | J(1) | 1,122,020 | 11/09/2018 | 11/09/2023 | CLASS A COMMON | 1,122,020 | $0.00 | 1,122,020 | D(3) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. DISTRIBUTION OF CLASS A COMMON STOCK AND WARRANTS BY KAYNE ANDERSON SPONSOR LLC TO ITS EQUITY OWNERS INCLUDING KAYNE ANDERSON CAPITAL ADVISORS, L.P. ("KACALP"), AND RICHARD A. KAYNE. UNLESS RECEIVED BY KACALP OR RICHARD A. KAYNE, DISTRIBUTED SECURITIES NO LONGER REPORTABLE BY KACALP OR RICHARD A. KAYNE. |
2. TOTAL BENEFICIALLY OWNED NOW INCLUDES 556,661 SHARES HELD DIRECTLY BY KACALP AND 400,000 SHARES HELD DIRECTLY BY RICHARD A. KAYNE IN A FAMILY TRUST. |
3. TOTAL BENEFICIALLY OWNED REFLECTS DISTRIBUTION BY KAYNE ANDERSON SPONSOR, LLC TO ITS EQUITY OWNERS OF WARRANTS TO PURCHASE 3,182,141 SHARES OF CLASS A COMMON STOCK NO LONGER BENEFICIALLY OWNED BY REPORTING PERSON EXCEPT TO THE EXTENT RECEIVED IN THAT DISTRIBUTION. |
Remarks: |
/S/ DAVID SHLADOVSKY BY POWER OF ATTORNEY FOR KAYNE ANDERSON CAPITAL ADVISORS, L.P. | 12/27/2018 | |
/S/ DAVID SHLADOVSKY BY POWER OF ATTORNEY FOR RICHARD A. KAYNE | 12/27/2018 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |