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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants | $ 0.25 | 04/08/2005 | J(1) | 458,334 | 09/08/2004 | 09/08/2009 | Common Stock | 458,334 | $ 0.25 | 0 | D (2) | ||||
Warrants | $ 0.25 | 04/08/2005 | J(1) | 458,333 | 11/30/2004 | 11/30/2009 | Common Stock | 458,333 | $ 0.25 | 0 | D (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Western Gulf Pipeline Partners, LP 1000 LOUISIANA, SUITE 1500 HOUSTON, TX 77002 |
X | |||
Peregrine Management, LLC 1000 LOUISIANA, SUITE 1500 HOUSTON, TX 77002 |
X | |||
WEBSTER STEVEN A 1000 LOUISIANA, SUITE 1500 HOUSTON, TX 77002 |
X |
/s/ Telisa Webb Schelin as attorney-in-fact for Western Gulf Pipeline Partners, LP | 04/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Telisa Webb Schelin as attorney-in-fact for Peregrine Management, LLC | 04/15/2005 | |
**Signature of Reporting Person | Date | |
/s/ Telisa Webb Schelin as attorney-in-fact for Steven A. Webster | 04/15/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The reporting person distributed the warrants to its partners on a pro rata basis. |
(2) | The reporting person, Western Gulf Pipeline Partners, LP, was the direct owner of these warrants. These warrants were also indirectly and beneficially owned by Peregrine Management, LLC, ("Peregrine") as the general partner of Western Gulf Pipeline Partners, LP, and Steven A. Webster ("Webster"), as the President of Peregrine. The filing of this statement shall not be construed as an admission that either Peregine or Webster is the beneficial owner of such security, and Peregrine or Webster disclaim beneficial ownership thereof. |