0001144204-18-020077.txt : 20180411 0001144204-18-020077.hdr.sgml : 20180411 20180411123203 ACCESSION NUMBER: 0001144204-18-020077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180409 FILED AS OF DATE: 20180411 DATE AS OF CHANGE: 20180411 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARSON RICHARD M CENTRAL INDEX KEY: 0001596728 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36260 FILM NUMBER: 18749540 MAIL ADDRESS: STREET 1: C/O CYPRESS ENERGY PARTNERS, L.P. STREET 2: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 FORMER NAME: FORMER CONFORMED NAME: CARSON RICHARD DATE OF NAME CHANGE: 20140110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cypress Energy Partners, L.P. CENTRAL INDEX KEY: 0001587246 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 BUSINESS PHONE: 918-748-3900 MAIL ADDRESS: STREET 1: 5727 S. LEWIS AVENUE, SUITE 500 CITY: TULSA STATE: OK ZIP: 74105 4 1 tv490844_4.xml OWNERSHIP DOCUMENT X0306 4 2018-04-09 0 0001587246 Cypress Energy Partners, L.P. CELP 0001596728 CARSON RICHARD M C/O CYPRESS ENERGY PARTNERS, L.P. 5727 S. LEWIS AVENUE, SUITE 300 TULSA OK 74105 0 1 0 0 SEE REMARKS Phantom Units (Limited Partner Interests) 2018-04-09 4 A 0 44000 A Common Units (Limited Partner Interests) 44000 44000 D Each phantom unit is the economic equivalent of one common unit. Vests in three substantially equal installments commencing on March 7, 2021, 2022 and 2023. The phantom units expire upon settlement. The phantom units are settled upon vesting in common units (on a one-for-one basis) or in cash, at the discretion of the Issuer. The Reporting Person is Senior Vice President and General Counsel of Cypress Energy Partners GP, LLC, the general partner of the Issuer (the "General Partner"). The Issuer is managed by the directors and executive officers of the General Partner. /s/ Richard Carson 2018-04-11