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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 | $ 0 (1) | 02/25/2016 | C | 11,999,258 | (1) | (1) | Common Units representing limited partner interest | 11,999,258 | (1) | 0 | D (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Delek US Holdings, Inc. 7102 COMMERCE WAY BRENTWOOD, TN 37027 |
X | |||
Delek Marketing & Supply, LLC 7102 COMMERCE WAY BRENTWOOD, TN 37027 |
X | |||
LION OIL CO 7102 COMMERCE WAY BRENTWOOD, TN 37027 |
X | |||
Delek Logistics GP, LLC 7102 COMMERCE WAY BRENTWOOD, TN 37027 |
X |
/s/ Kent B. Thomas, Attorney-In-Fact | 02/29/2016 | |
**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) | Represents the conversion of 11,999,258 subordinated units representing limited partner interests in Delek Logistics Partners, LP (the "Issuer"), which were converted into common units representing limited partner interests on a one-to-one basis upon expiration of the subordination period as set forth in the Issuer's First Amended and Restated Agreement of Limited Partnership. |
(2) | This Form 4 is being filed jointly by Delek US Holdings, Inc. ("Delek US"), Lion Oil Company ("Lion Oil"), Delek Marketing & Supply, LLC ("Delek Marketing") and Delek Logistics GP, LLC ("Delek GP"). Lion Oil and Delek Marketing are wholly owned subsidiaries of Delek US. Lion Oil and Delek Marketing respectively own 12,611,465 and 2,187,051 common units representing limited partner interests in the Issuer. |
(3) | Delek GP owns approximately 495,445 general partner units, representing its 2.0% general partner interest in the Issuer, as well as its incentive distribution rights. |
(4) | Delek US directly owns 100% of the outstanding ownership interests of Lion Oil and Delek Marketing. Delek US may therefore be deemed to beneficially own securities of the Issuer owned directly by Lion Oil and Delek Marketing. |