UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Oasis Petroleum Inc. 1001 FANNIN STREET, SUITE 1500 HOUSTON, TX 77002 |
 |  X |  |  |
Oasis Petroleum LLC 1001 FANNIN STREET, SUITE 1500 HOUSTON, TX 77002 |
 |  X |  |  |
OMS Holdings LLC 1001 FANNIN STREET, SUITE 1500 HOUSTON, TX 77002 |
 |  X |  |  |
/s/ Nickolas J. Lorentzatos, Executive Vice President, General Counsel and Corporate Secretary of Oasis Petroleum Inc. | 09/20/2017 | |
**Signature of Reporting Person | Date | |
/s/ Nickolas J. Lorentzatos, Executive Vice President, General Counsel and Corporate Secretary of Oasis Petroleum LLC | 09/20/2017 | |
**Signature of Reporting Person | Date | |
/s/ Nickolas J. Lorentzatos, Executive Vice President, General Counsel and Corporate Secretary of OMS Holdings LLC | 09/20/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | This Form 3 is being filed in connection with the effectiveness of the Issuer's Registration Statement on Form S-1 (Registration No. 333-217976). As of September 20, 2017, OMS Holdings LLC ("OMS Holdings") owns all of the issued and outstanding limited partner interests in Oasis Midstream Partners LP ("Issuer"), Oasis Petroleum LLC ("Oasis Petroleum") directly owns 100% of the outstanding membership interests in OMS Holdings and Oasis Petroleum Inc. ("OAS") directly owns 100% of the outstanding membership interests in Oasis Petroleum. Accordingly, OAS and Oasis Petroleum may be deemed to be indirect beneficial owners of any securities held by OMS Holdings. |
(2) | In connection with the closing of the Issuer's initial public offering, all of the previously issued and outstanding limited partner interests of the Issuer held by OMS Holdings will be redeemed and the Issuer will issue to OMS Holdings new common units representing limited partner interests and subordinated units representing limited partner interests. |