0001637992-18-000002.txt : 20180416 0001637992-18-000002.hdr.sgml : 20180416 20180416174343 ACCESSION NUMBER: 0001637992-18-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180414 FILED AS OF DATE: 20180416 DATE AS OF CHANGE: 20180416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergeron Jeremy CENTRAL INDEX KEY: 0001637992 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35711 FILM NUMBER: 18757501 BUSINESS ADDRESS: BUSINESS PHONE: 610-625-8000 MAIL ADDRESS: STREET 1: 645 HAMILTON STREET STREET 2: SUITE 500 CITY: ALLENTOWN STATE: PA ZIP: 18101 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CrossAmerica Partners LP CENTRAL INDEX KEY: 0001538849 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PETROLEUM & PETROLEUM PRODUCTS (NO BULK STATIONS) [5172] IRS NUMBER: 454165414 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 515 HAMILTON ST. STREET 2: SUITE 200 CITY: ALLENTOWN STATE: PA ZIP: 18101 BUSINESS PHONE: 610-625-8000 MAIL ADDRESS: STREET 1: 515 HAMILTON ST. STREET 2: SUITE 200 CITY: ALLENTOWN STATE: PA ZIP: 18101 FORMER COMPANY: FORMER CONFORMED NAME: Lehigh Gas Partners LP DATE OF NAME CHANGE: 20120105 4 1 wf-form4_152391497720644.xml FORM 4 X0306 4 2018-04-14 0 0001538849 CrossAmerica Partners LP CAPL 0001637992 Bergeron Jeremy 645 W HAMILTON STREET, SUITE 500 ALLENTOWN PA 18101 1 1 0 0 CEO Common Units 2018-04-14 4 M 0 1387 A 12448 D Common Units 2018-04-14 4 F 0 582 20.99 D 11866 D Phantom Units 2018-04-14 4 M 0 1387 0 D 2018-04-14 Common Units 1387.0 1387 D Common units acquired upon vesting of phantom units granted in April 2015. Common units withheld in payment of the reporting person's tax withholding triggered by vesting. The closing price of CrossAmerica Partners LP common units on the trading day prior to the applicable date. Each phantom unit represents a contingent right to receive one share of the issuer's common unit. On April 14, 2015 the reporting person was granted 4,077 phantom units. The phantom units vest in three equal annual installments beginning on the first anniversary date of the grant date. Vested shares will be delivered on or as soon as reasonably practical following the applicable date of vesting, but in any event within sixty (60) days of the applicable date of vesting. /s/ Giovanna Rueda as Attorney in Fact for Jeremy Bergeron 2018-04-16 EX-24 2 poa.htm POWER OF ATTORNEY FOR: GIOVANNA RUEDA, AS ATTORNEY IN FACT FOR JEREMY BERGERON
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby appoints each of Hamlet T. Newsom, Jr. and Giovanna Rueda, as the undersigned's true and lawful attorney-in-fact to act for and on behalf of and in the name, place and stead of the undersigned to:
1.	prepare, execute and file, for and on behalf of the undersigned any and all documents and filings that are required or advisable to be made with the United States Securities and Exchange Commission, any stock exchange or similar authority, under Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the rules and regulations promulgated thereunder, including without limitation any Form 3, 4, or 5 (or any successor schedules or forms adopted under the Exchange Act) and any amendments to any of the foregoing; and
2.	take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, herby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.
All prior Powers of Attorney are hereby revoked.  This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to an attorney-in-fact.
This Power of Attorney shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania, without giving effect to any principles of conflicts of laws.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 14 day of July, 2015.

									/s/
							Jeremy L. Bergeron