0001209191-21-036784.txt : 20210601 0001209191-21-036784.hdr.sgml : 20210601 20210601151946 ACCESSION NUMBER: 0001209191-21-036784 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210528 FILED AS OF DATE: 20210601 DATE AS OF CHANGE: 20210601 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: 21984931 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 Environmental Partners, L.P. CENTRAL INDEX KEY: 0001587246 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] 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 FORMER COMPANY: FORMER CONFORMED NAME: Cypress Energy Partners, L.P. DATE OF NAME CHANGE: 20130919 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-28 0 0001587246 Cypress Environmental Partners, L.P. CELP 0001596728 CARSON RICHARD M C/O CYPRESS ENVIRONMENTAL PARTNERS, L.P. 5727 S. LEWIS AVE., SUITE 300 TULSA OK 74105 0 1 0 0 See Remarks Unit Appreciation Right 2.14 2021-05-28 4 A 0 115000 0.00 A 2024-05-28 2031-05-28 Common Units (Limited Partner Interests) 115000 115000 D On May 28, 2021, the Reporting Person was granted 115,000 Unit Appreciation Rights ("UARs") pursuant to the Issuer's 2013 Long-Term Incentive Plan (the "Plan"). The UARs vest in equal installments on March 28, 2024, 2025 and 2026. Each UAR that vests represents the right to receive payment, in accordance with the Plan, in an amount equal to the excess, if any, of the fair market value of one Common Unit over the per Unit exercise price of the UAR upon exercise of the UAR. The Reporting Person is entitled to cash or common units (valued at the fair market value on the date of exercises), or a combination thereof, as determined by the administrator of the Plan. The Reporting Person is Senior Vice President and General Counsel of Cypress Environmental 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/ Jonathan M. Cinocca, Attorney-in-Fact to Richard M. Carson 2021-06-01