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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Purchase Rights for Units | $ 13.18 | 03/13/2017 | A | 11,380 (1) (2) | 05/23/2018 | 05/23/2018(3) | Common Units | 11,380 (1) (2) | $ 0 | 11,380 (1) (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HUFF JOHN R C/O HI-CRUSH PARTNERS THREE RIVERWAY SUITE 1350 HOUSTON, TX 77056 |
X |
/s/ Mark C. Skolos, as Attorney-In-Fact for John R. Huff | 03/15/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The reporting person is a participant in the Hi-Crush Partners LP First Amended and Restated Long-Term Incentive Plan (the "Plan") and has elected to participate in the Hi-Crush Partners LP 2017 Unit Purchase Program (the "2017 UPP") adopted under the Plan. On March 13, 2017, the reporting person was granted the right to purchase, on May 23, 2018 at $13.18 per common unit, up to the number of common units that are equal to (i) the reporting person's aggregate dollar amount of contributions made to the 2017 UPP during the period of the 2017 UPP's applicability divided by (ii) $13.18; provided that such number of common units shall be capped at 20,000 common units. |
(2) | The number of derivative securities acquired and underlying common units reported on this Form 4 for the reporting person is based on the application of the foregoing formula using the dollar amount of contributions currently elected by the reporting person in his Hi-Crush Partners LP 2017 Unit Purchase Program Enrollment Form, but may be reduced based on reductions in the reporting person's elected dollar amount of contributions. |
(3) | The purchase right is only exercisable on May 23, 2018 and does not continue thereafter. |