Statement of Changes in Beneficial Ownership (4)
October 20 2022 - 02:38PM
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 * Mault William J. |
2. Issuer Name and Ticker or Trading
Symbol Summit Midstream Partners, LP [ SMLP ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
See remarks below. |
(Last)
(First)
(Middle)
C/O SUMMIT MIDSTREAM PARTNERS, LP, 910 LOUISIANA STREET,
SUITE 4200 |
3. Date of Earliest Transaction (MM/DD/YYYY)
10/18/2022
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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
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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 |
10/18/2022 |
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M |
|
2333 |
A |
(1) |
4375 (2) |
D |
|
Common Units |
10/18/2022 |
|
F |
|
569 (3) |
D |
$18.57 |
3806 |
D |
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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) |
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 |
Phantom Units |
(1) |
10/18/2022 |
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M |
|
|
2333 |
(4) |
(5) |
Common Units |
2333 |
$0.00 |
0 (2)(6) |
D |
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Explanation of
Responses: |
(1) |
Each phantom unit is the
economic equivalent of one common unit. |
(2) |
On November 9, 2020, the
Issuer effected a 1-for-15 reverse unit split (the "Reverse Unit
Split"). Pursuant to the Reverse Unit Split, common unitholders
received one common unit for every 15 common units owned at the
close of business on November 9, 2020. All fractional units created
by the Reverse Unit Split were rounded to the nearest whole unit.
The common units began trading on a split-adjusted basis on
November 10, 2020. After giving effect to the Reverse Unit Split,
the number of issued and outstanding common units decreased to
3,774,992. |
(3) |
Common Units being withheld
to pay tax liability. |
(4) |
These phantom units vested
on October 18, 2022, subject to continued employment and
accelerated vesting, as provided in the applicable award agreement.
The Reporting Person will receive Distribution Equivalent Rights
("DERs") for each phantom unit, providing for payment on the
vesting date of a lump sum of cash equal to the accrued
distributions from and after the grant date of the phantom
units. |
(5) |
The phantom units and
associated DERs do not expire. The phantom units are settled upon
vesting in common units (on a one-for-one basis) or in cash, at the
discretion of the Issuer. |
(6) |
After giving effect to the
transactions reported in this Report, the Reporting Person holds an
aggregate 19,566 phantom units. |
Remarks:
The Reporting Person is Executive Vice President and Chief
Financial Officer of Summit Midstream 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 |
Mault William J.
C/O SUMMIT MIDSTREAM PARTNERS, LP
910 LOUISIANA STREET, SUITE 4200
HOUSTON, TX 77002 |
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See remarks below. |
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Signatures
|
/s/ John E. Griffin, Attorney-in-Fact for William
J. Mault |
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10/20/2022 |
**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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