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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Phillips 66 Project Development Inc. 3010 BRIARPARK DRIVE HOUSTON, TX 77042 |
X | X | ||
Phillips 66 Co 3010 BRIARPARK DRIVE HOUSTON, TX 77042 |
X | X | ||
Phillips 66 3010 BRIARPARK DRIVE HOUSTON, TX 77042 |
X | X |
Paula A. Johnson, Vice President | 12/02/2015 | |
**Signature of Reporting Person | Date | |
Paula A. Johnson, Executive VP of Phillips 66 | 12/02/2015 | |
**Signature of Reporting Person | Date | |
Paula A. Johnson, Executive VP of Phillips 66 Company | 12/02/2015 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On December 1, 2015, in connection with the closing of the transactions contemplated by the Contribution, Conveyance and Assumption Agreement dated October 29, 2015, by and among the Issuer, Phillips 66 Partners GP LLC (the "General Partner"), Phillips 66 Company ("P66 Company"), Phillips 66 Project Development Inc. ("P66 PDI") and Phillips 66 Gulf Coast Pipeline LLC ("P66 Pipeline"), the Issuer acquired a pipeline interest from P66 Pipeline. The consideration paid by the Issuer included the assumption of a $34.8 million note payable to P66 Company that the Issuer immediately paid in full; 606,056 common units of the Issuer issued to P66 PDI; and 12,369 general partner units issued to the General Partner to maintain its 2% general partner interest in the Issuer. |
(2) | This Form 4 is filed jointly by Phillips 66 ("PSX"), P66 Company, and P66 PDI. P66 PDI, a direct wholly owned subsidiary of P66 Company, owns all of the outstanding membership interests in the General Partner. Accordingly, the General Partner is an indirect wholly owned subsidiary of both P66 Company and PSX. P66 Company and PSX may be deemed to indirectly own the securities of the Issuer directly held by the General Partner, but disclaim beneficial ownership except to the extent of their pecuniary interest therein. P66 Company and PSX may also be deemed to indirectly own the securities of the Issuer directly held by P66 PDI, but disclaim beneficial ownership except to the extent of their pecuniary interest therein. |