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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Olmstead Charles R. 2431 E. 61ST ST., SUITE 850 TULSA, OK 74136 |
X | Chief Executive Officer |
/s/ Nathan P. Pekar, Attorney-in-fact | 02/20/2013 | |
**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) | This transaction was previously reported on that certain Form 4, filed on February 4, 2013 (the "Original Form 4"); however, through scrivener's error, the Original Form 4 erroneously reported the aggregate number of common units directly owned by the Reporting Person following the transaction reported therein. The Form 4 filed on December 19, 2012, as subsequently amended by the Form 4/A filed on January 2, 2013, reported a gift by the Reporting Person of 52,549 common units. Contrary to that report, including the amendment thereto, these 52,549 common units were in fact never gifted by the Reporting Person. Accordingly, this Form 4/A amends the Original Form 4 in order to accurately report the aggregate number of common units directly owned by the Reporting Person following the transaction reported in the Original Form 4, without giving effect to the aforementioned erroneously reported gift. |
(2) | Common units awarded to Mr. Olmstead pursuant to the Mid-Con Energy Partners, LP Long-Term Incentive Program. |