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]