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 | ||||
Preferred Units | 07/25/2012(2) | Â (2) | Common Units | 3,796,899 (2) | $ 26.3 | I | See Footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
R/C Energy IV TGP Holdings, L.P. C/O RIVERSTONE HOLDINGS LLC 712 FIFTH AVENUE, 51ST FLOOR NEW YORK, NY 10019 |
 |  X |  |  |
R/C Energy GP IV, LLC C/O RIVERSTONE HOLDINGS LLC 712 FIFTH AVENUE, 51ST FLOOR NEW YORK, NY 10019 |
 |  X |  |  |
Riverstone/Carlyle Energy Partners IV, L.P. C/O RIVERSTONE HOLDINGS LLC 712 FIFTH AVENUE, 51ST FLOOR NEW YORK, NY 10019 |
 |  X |  |  |
/s/ Tom Walker, on behalf of R/C Energy GP IV, LLC, the general partner of Riverstone/Carlyle Energy Partners IV, L.P., the general partner of R/C Energy TGP Holdings, L.P. | 07/31/2012 | |
**Signature of Reporting Person | Date | |
/s/ Tom Walker, on behalf of R/C Energy GP IV, LLC, the general partner of Riverstone/Carlyle Energy Partners IV, L.P. | 07/31/2012 | |
**Signature of Reporting Person | Date | |
/s/ Tom Walker, on behalf of R/C Energy GP IV, LLC | 07/31/2012 | |
**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) | These securities are directly held by R/C Energy TGP Holdings IV, L.P. ("TGP Holdings"). Riverstone/Carlyle Energy Partners IV, L.P. ("TGP Holdings GP") is the general partner of TGP Holdings. R/C Energy GP IV, LLC ("Ultimate GP") is the general partner of TGP Holdings GP. TGP Holdings GP and Ultimate GP may be deemed to have indirect ownership of these securities through TGP Holdings. |
(2) | The preferred units are convertible at the holder's option into a number of common units equaling $26.03 plus any accrued dividend in respect of such unit divided by $26.03, at any time on or before July 25, 2015. Any preferred units not previously converted will convert into common units on July 25, 2015. |