Statement of Changes in Beneficial Ownership (4)
February 21 2023 - 04:23PM
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 * CURRY
MICHAEL RAY |
2. Issuer Name and Ticker or Trading
Symbol USD Partners LP [ USDP ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) __X__
Other (specify below)
SEE REMARKS |
(Last)
(First)
(Middle)
811 MAIN STREET, SUITE 2800 |
3. Date of Earliest Transaction (MM/DD/YYYY)
2/16/2023
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(Street)
HOUSTON, TX 77002
(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) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
COMMON UNITS (LIMITED PARTNER
INTERESTS) |
2/16/2023 |
|
A |
|
20054 (1) |
A |
$0 |
211053 (2) |
D |
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COMMON UNITS (LIMITED PARTNER
INTERESTS) |
2/16/2023 |
|
F |
|
6715 (3) |
D |
$3.54 |
204338 (4) |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
7. Title and Amount of Securities Underlying
Derivative Security
(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) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
Represents the grant of
phantom units. Each phantom unit is the economic equivalent of one
common unit of USDP. The phantom units vest in four annual
installments commencing on the one-year anniversary of the issuance
date. |
(2) |
Includes 75,412 phantom
units. |
(3) |
Represents common units of
limited partnership interest withheld by the Issuer to satisfy tax
withholding obligations upon the vesting of outstanding phantom
units. |
(4) |
Includes 52,772 phantom
units. |
Remarks:
The Reporting Person is a director of USD Partners GP LLC, the
general partner of the Issuer (the "General Partner"). The Issuer
is managed by the directors and executive officers of the General
Partner. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
CURRY MICHAEL RAY
811 MAIN STREET, SUITE 2800
HOUSTON, TX 77002 |
X |
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SEE REMARKS |
Signatures
|
/s/ Adam Altsuler, Attorney-in-Fact for Michael
Ray Curry |
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2/21/2023 |
**Signature of
Reporting Person |
Date |
Reminder: Report on a separate line for each class
of securities beneficially owned directly or
indirectly. |
* |
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). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
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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