0001357400-18-000187.txt : 20181219
0001357400-18-000187.hdr.sgml : 20181219
20181219125336
ACCESSION NUMBER: 0001357400-18-000187
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: Rodgers Ben C
CENTRAL INDEX KEY: 0001756230
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38048
FILM NUMBER: 181242945
MAIL ADDRESS:
STREET 1: 2000 POST OAK BLVD, STE 100
CITY: HOUSTON
STATE: TX
ZIP: 77056
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
f4forrbc.xml
PRIMARY DOCUMENT
X0306
4
2018-12-17
0
0001692787
Altus Midstream Co
ALTM
0001756230
Rodgers Ben C
2000 POST OAK BLVD, STE 100
HOUSTON
TX
77056
1
1
0
0
CFO
Class A Common Stock
2018-12-17
4
J
0
5000.
0
A
5000.
D
Pro rata distribution of Class A Common Stock from Altus SPAC Investments, LLC to its members.
Note: Also see attached Exhibit EX-24 POA.
Raj Sharma, Attorney-in-Fact
2018-12-19
EX-24
2
benrodgerspoaforms34and5.txt
POA
Power of Attorney
(Limited to Execution of Forms 3, 4 and 5)
I, Ben C. Rodgers, 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
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 changes in my beneficial ownership of securities
issued by Altus 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/ Ben C. Rodgers
State of Texas
County of Harris
On this 8th day of November 2018, before me personally came Ben C.
Rodgers, 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]