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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 | ||||||||
Subordinated units representing limited partner interests | (1) | 04/15/2013 | J(2) | 4,526,066 | (1) | (1) | Common Units | 4,526,066 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
AIM Midstream Holdings, LLC 950 TOWER LANE, SUITE 800 FOSTER CITY, CA 94404 |
X | |||
AIM Universal Holdings, LLC 950 TOWER LANE, SUITE 800 FOSTER CITY, CA 94404 |
X |
AIM Midstream Holdings, LLC , By: /s/ Robert B. Hellman, Jr., Authorized Managing Member of AIM Universal Holdings, LLC, the sole manager of AIM Midstream Holdings, LLC | 04/17/2013 | |
**Signature of Reporting Person | Date | |
AIM Universal Holdings, LLC , By: /s/ Robert B. Hellman, Jr., Authorized Managing Member of AIM Universal Holdings, LLC | 04/17/2013 | |
**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) | As described in the Issuer's Registration Statement on Form S-1 (Registration No. 333-173191) (the "Registration Statement"), each subordinated unit will convert into one common unit at the end of the subordination period described in the Registration Statement. The subordinated units have no expiration date. |
(2) | Pursuant to the Purchase Agreement by and between High Point Infrastructure Partners, LLC ("HPIP") and AIM Midstream Holdings, LLC ("AIM"), dated as of April 15, 2013, AIM transferred 4,526,066 subordinated units representing limited partner interests of American Midstream Partners, LP and 90% of the outstanding membership interests in American Midstream GP, LLC, a Delaware limited liability company, to HPIP. |