0001513965-15-000105.txt : 20150915
0001513965-15-000105.hdr.sgml : 20150915
20150915162834
ACCESSION NUMBER: 0001513965-15-000105
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150915
FILED AS OF DATE: 20150915
DATE AS OF CHANGE: 20150915
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Midstream Partners, LP
CENTRAL INDEX KEY: 0001513965
STANDARD INDUSTRIAL CLASSIFICATION: NATURAL GAS TRANSMISSION [4922]
IRS NUMBER: 270855785
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1400 16TH STREET
STREET 2: SUITE 310
CITY: DENVER
STATE: CO
ZIP: 80202
BUSINESS PHONE: (720) 457-6060
MAIL ADDRESS:
STREET 1: 1400 16TH STREET
STREET 2: SUITE 310
CITY: DENVER
STATE: CO
ZIP: 80202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sullivan Kevin J.
CENTRAL INDEX KEY: 0001625982
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35257
FILM NUMBER: 151108005
MAIL ADDRESS:
STREET 1: 1400 16TH STREET
STREET 2: SUITE 310
CITY: DENVER
STATE: CO
ZIP: 80202
4
1
wf-form4_144234890420959.xml
FORM 4
X0306
4
2015-09-15
0
0001513965
American Midstream Partners, LP
AMID
0001625982
Sullivan Kevin J.
1400 16TH STREET
SUITE 310
DENVER
CO
80202
0
1
0
0
Executive Vice President
Common Units (limited partner interests)
2015-09-15
4
P
0
10000
11.31
A
10000
D
Common Units (limited partner interests)
661743
I
Units held by Costar Midstream Energy LLC
Of the 661,743 units held by Costar Midstream Energy LLC, 237,341 are currently being held in escrow and a subject to forfeiture to satisfy claims arising as a result of breaches of certain representations and warranties contained in that certain Purchase and Sale Agreement, dated as of October 13, 2014, by and between Costar Midstream Energy LLC, Energy Spectrum Partners VI LP and American Midstream, LLC.
Mr. Sullivan is a member of Costar Midstream Energy LLC but disclaims beneficial ownership of such units except to the extent of his pecuniary interest therein.
/s/ William B. Mathews, Attorney-in-Fact for Kevin J. Sullivan
2015-09-15