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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 | ||||||||
Waiver Units - Class 1 | (4) | 08/12/2011 | J(1) | 619,838 | (4) | (4) | Common Units - Class A | 619,838 | (4) | 0 | I | By Q GEI Holdings, LLC (2) | |||
Waiver Units - Class 2 | (4) | 08/12/2011 | J(1) | 619,838 | (4) | (4) | Common Units - Class A | 619,838 | (4) | 0 | I | By Q GEI Holdings, LLC (2) | |||
Waiver Units - Class 3 | (4) | 08/12/2011 | J(1) | 619,838 | (4) | (4) | Common Units - Class A | 619,838 | (4) | 0 | I | By Q GEI Holdings, LLC (2) | |||
Waiver Units - Class 4 | (4) | 08/12/2011 | J(1) | 619,838 | (4) | (4) | Common Units - Class A | 619,838 | (4) | 0 | I | By Q GEI Holdings, LLC (2) | |||
Waiver Units - Class 1 | (4) | (4) | (4) | Common Units - Class A | 305,908 | 305,908 | I | By Quintana Energy Partners II, L.P. (3) | |||||||
Waiver Units - Class 2 | (4) | (4) | (4) | Common Units - Class A | 305,908 | 305,908 | I | By Quintana Energy Partners II, L.P. (3) | |||||||
Waiver Units - Class 3 | (4) | (4) | (4) | Common Units - Class A | 305,908 | 305,908 | I | By Quintana Energy Partners II, L.P. (3) | |||||||
Waiver Units - Class 4 | (4) | (4) | (4) | Common Units - Class A | 305,908 | 305,908 | I | By Quintana Energy Partners II, L.P. (3) | |||||||
Waiver Units - Class 1 | (4) | (4) | (4) | Common Units - Class A | 30,780 | 30,780 | I | By QEP II Genesis TE Holdco, LP (3) | |||||||
Waiver Units - Class 2 | (4) | (4) | (4) | Common Units - Class A | 30,780 | 30,780 | I | By QEP II Genesis TE Holdco, LP (3) | |||||||
Waiver Units - Class 3 | (4) | (4) | (4) | Common Units - Class A | 30,780 | 30,780 | I | By QEP II Genesis TE Holdco, LP (3) | |||||||
Waiver Units - Class 4 | (4) | (4) | (4) | Common Units - Class A | 30,780 | 30,780 | I | By QEP II Genesis TE Holdco, LP (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Quintana Capital Group GP Ltd 601 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group | |||
Quintana Capital Group II LP 601 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group | |||
QUINTANA ENERGY PARTNERS II LP 601 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group | |||
QEP II Genesis TE Holdco LP 601 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group | |||
QEP Management Co GP LLC 600 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group | |||
QEP Management Co LP 600 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group | |||
Q GEI Holdings LLC 601 JEFFERSON STREET SUITE 3600 HOUSTON, TX 77002 |
Possible member of 10% group |
/s/ Steve Putnam | 08/16/2011 | |
**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) | On August 12, 2011, Q GEI Holdings, LLC distributed pro rata to its members in accordance with their respective interests 7,055,595 Common Units - Class A and 2,479,352 Waiver Units (divided equally among Class 1, Class 2, Class 3, and Class 4). Of the amounts distributed, Quintana Energy Partners II, L.P. received 988,451 Common Units - Class A and 347,344 Waiver Units (divided equally among Class 1, Class 2, Class 3 and Class 4), and QEP II Genesis TE Holdco, LP received 57,188 Common Units - Class A and 20,096 Waiver Units (divided equally among Class 1, Class 2, Class 3 and Class 4). |
(2) | Q GEI Holdings, LLC is managed by a board of managers (the "Q GEI Board") the members of which are Jimmy A. McDonald, Steve Putman and Corbin J. Robertson III (such individuals, collectively, the "Q GEI Managers"). The Q GEI Board acts unanimously and none of the Q GEI Managers may act individually to vote or sell any of the units covered by this Form 4. Each of the Q GEI Managers is also an employee of Quintana Capital Group GP, Ltd. |
(3) | Quintana Capital Group GP, Ltd. is the general partner of Quintana Capital Group II, L.P., which is the general partner of Quintana Energy Partners II, L.P. and QEP II Genesis TE Holdco, LP. QEP Management Co. GP, LLC is the general partner of QEP Management Co., L.P. (each a "management entity"). Each such management entity provides management services to Quintana Energy Partners II, L.P. and QEP II Genesis TE Holdco, LP, and may be deemed to have or share voting power and/or investment power over the units reported in this Form 4 held by such entities. QEP Management Co. GP, LLC is managed by a board of managers and Quintana Capital Group GP, Ltd. is managed by a board of directors (such boards, collectively, the "Quintana Boards"). The members of each Quintana Board are Donald L. Evans, Warren S. Hawkins, Corbin J. Robertson, Jr., Brock E. Morris, Corbin J. Robertson III, and William K. Robertson. |
(4) | The Waiver Units, among other rights, preferences and privileges, are entitled to quarterly distributions of $0.001786 per Waiver Unit and are convertible into Common Units - Class A on a one-for-one basis at the option of the holder upon, among other things, payment of a quarterly cash distribution on the Common Units that has a coverage ratio of at least 1.10 and equals or exceeds the applicable distribution level: (i) Class 1 - $0.43 per Common Unit; (ii) Class 2 - $0.46 per Common Unit; (iii) Class 3 - $0.49 per Common Unit; and (iv) Class 4 - $0.52 per Common Unit. The Waiver Units will also automatically convert to Common Units - Class A upon the six-month anniversary of the occurrence of the circumstances that give rise to the right of the holder to convert. Waiver Units that have not become convertible by January 1, 2021 shall, as of the close of business on such date, automatically be cancelled. |
Remarks: Each Reporting Person set forth above disclaims beneficial ownership of all the units reported in this Form 4 except to the extent of its respective pecuniary interest therein and the filing of this Form 4 shall not be construed as an admission that any such Reporting Person is the beneficial owner of any such units. /s/ Steve Putman, Signed in the following capacities: Quintana Capital Group GP, Ltd., by Steve Putman, Managing Director, is signing for itself as the designated filer, as well as in its capacity as the general partner of Quintana Capital Group II, L.P. and on behalf of Quintana Capital Group II, L.P. as the general partner of each of Quintana Energy Partners II, L.P. and QEP II Genesis TE Holdco, LP. QEP Management Co. GP, LLC, by Steve Putman, Authorized Person, is signing for itself, as well as in its capacity as the general partner of QEP Management Co., L.P. Q GEI Holdings, LLC, by Steve Putman, Secretary, is signing for itself. |