Statement of Changes in Beneficial Ownership (4)
January 03 2018 - 6:40PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
ALTEP 2010 L.P.
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2. Issuer Name
and
Ticker or Trading Symbol
LyondellBasell Industries N.V.
[
LYB
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
_____ Officer (give title below)
__
X
__ Other (specify below)
Affiliate of 10% Owner
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(Last)
(First)
(Middle)
C/O AI ALTEP HOLDINGS, INC., 730 FIFTH AVENUE, 20TH FL
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/29/2017
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(Street)
NEW YORK, NY 10019
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Ordinary Shares
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12/29/2017
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J
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169946
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D
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(1)
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74028
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D
(2)
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Ordinary Shares
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12/29/2017
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J
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77366
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D
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(1)
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74754
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D
(3)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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Reflects distribution of ordinary shares pursuant to an internal reorganization.
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(2)
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The securities reported are held directly by Altep 2010 L.P. ("Altep 2010"). Each of the reporting persons (other than Altep 2010) disclaims beneficial ownership of these securities, and this Form shall not be construed as an admission that any such reporting person is the beneficial owner of any such securities.
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(3)
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The securities reported are held directly by Altep 2011 L.P. ("Altep 2011"). Each of the reporting persons (other than Altep 2011) disclaims beneficial ownership of these securities, and this Form shall not be construed as an admission that any such reporting person is the beneficial owner of any such securities.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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ALTEP 2010 L.P.
C/O AI ALTEP HOLDINGS, INC.
730 FIFTH AVENUE, 20TH FL
NEW YORK, NY 10019
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Affiliate of 10% Owner
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ALTEP 2011 L.P.
C/O AI ALTEP HOLDINGS, INC.
730 FIFTH AVENUE, 20TH FL
NEW YORK, NY 10019
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Affiliate of 10% Owner
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Signatures
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/s/ Alejandro Moreno for Altep 2010 L.P.
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1/3/2018
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**
Signature of Reporting Person
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Date
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/s/ Alejandro Moreno for Altep 2011 L.P.
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1/3/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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