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 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KAGAN PETER 1615 WYNKOOP STREET DENVER, CO 80202 |
X |
/s/ Peter R. Kagan | 11/04/2014 | |
**Signature of Reporting Person | Date |
No securities are beneficially owned | |
* | 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). |
Remarks: The Issuer was organized in September 2013 as a Delaware limited liability company and will convert into a Delaware limited partnership-Antero Midstream Partners LP- in connection with the Issuer's initial public offering (the ''IPO''), as described in the Issuer's Registration Statement on Form S-1 (File No. 333-193798). Antero Resources Midstream Management LLC ("Midstream Management") holds a special membership interest in the Issuer, which provides Midstream Management with certain rights, including: (i) the right to cause the Issuer to conduct the IPO; and (ii) the right to have the special membership interest converted into the general partner interest in the Issuer. In connection with the IPO, Midstream Management will become the general partner of the Issuer, and Mr. Kagan is a member of the Board of Directors of Midstream Management. |