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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 | ||||||||
Class A Convertible Preferred Units | $ 2.15 | 02/11/2017 | 08/11/2021 | Common Units Representing Limited Partner Interests | 23,256 | 23,256 | I | By Goff MCEP Holdings, LLC (2) | |||||||
Class A Convertible Preferred Units | $ 2.15 | 02/11/2017 | 08/11/2021 | Common Units Representing Limited Partner Interests | 93,023 | 93,023 | I | By Goff MCEP Holdings, LLC (3) | |||||||
Class B Convertible Preferred Units | $ 1.53 | 07/31/2018 | 08/11/2021 | Common Units Representing Limited Partner Interests | 65,359 | 65,359 | I | By Goff MCEP II, LP (4) | |||||||
Class B Convertible Preferred Units | $ 1.53 | 07/31/2018 | 08/11/2021 | Common Units Representing Limited Partner Interests | 130,719 | 130,719 | I | By Goff MCEP II, LP (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Colyer Wilkie Schell Jr 2431 E 61ST STREET SUITE 850 TULSA, OK 74136 |
X |
/s/Charles L. McLawhorn, III, Vice President, General Counsel and Corporate Secretary | 02/01/2019 | |
**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) | Common units awarded to Mr. Colyer pursuant to the Mid-Con Energy Partners, LP Long-Term Incentive Program. |
(2) | These Class A Convertible Preferred Units are held directly by Goff MCEP Holdings, LLC (Goff MCEP) but are held for the benefit of Mr. Colyer pursuant to an understanding between Mr. Colyer and Goff MCEP. Mr. Colyer is a principal of Goff Capital, Inc. (Goff Capital) which is the manager of Goff MCEP. Mr. Colyer and Goff Capital each disclaim beneficial ownership of these securities except to the extent of their respective pecuniary interest therein. |
(3) | These Class A Convertible Preferred Units are held directly by Goff MCEP but are held for the benefit of Colyer Interests, LLC (Colyer Interests), of which Mr. Colyer is the Managing Member, pursuant to an understanding between Colyer Interests and Goff MCEP. Mr. Colyer is a principal of Goff Capital which is the manager of Goff MCEP. Mr. Colyer, Goff Capital and Colyer Interests each disclaim beneficial ownership of these securities except to the extent of their pecuniary interest therein. |
(4) | These Class B Convertible Preferred Units are held directly by Goff MCEP II, LP (Goff MCEP II) but are held for the benefit of Mr. Colyer pursuant to an understanding between Mr. Colyer and Goff MCEP II. Mr. Colyer is the Senior Vice President/Investments, of GFS MCEP GP, LLC (GFS MCEP) which is the general partner of Goff MCEP II. Mr. Colyer and GFS MCEP each disclaim beneficial ownership of these securities except to the extent of their respective pecuniary interest therein. |
(5) | These Class B Convertible Preferred Units are held directly by Goff MCEP II but are held for the benefit of Colyer Interests, of which Mr. Colyer is the Managing Member, pursuant to an understanding between Mr. Colyer and Goff MCEP II. Mr. Colyer, is the Senior Vice President/ Investments of GFS MCEP which is the general partner of Goff MCEP II. Mr. Colyer, Colyer Interests and GFS MCEP each disclaim beneficial ownership of these securities except to the extent of their respective pecuniary interest therein. |