FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Black Stone Minerals, L.P. [ BSM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/06/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 representing limited partner interests | 05/06/2015 | A | 5,263 | A | $0.00 | 5,263 | D | |||
Common units representing limited partner interests | 05/06/2015 | J(1) | 23,907 | A | (1) | 29,170 | D | |||
Common units representing limited partner interests | 05/06/2015 | J(1) | 77,459 | A | (1) | 106,629 | I | By Conti Street Partners, L.P. | ||
Common units representing limited partner interests | 05/06/2015 | J(1) | 242,714 | A | (1) | 349,343 | I | By Conti Street Minerals, L.P. | ||
Common units representing limited partner interests | 05/06/2015 | J(1) | 588,939 | A | (1) | 938,282 | I | By WM Capital Partners, L.P. | ||
Common units representing limited partner interests | 05/06/2015 | J(1)(4) | 189,117 | A | $0.00 | 1,127,399 | I | By The Estate of Isabel Brown Wilson | ||
Common units representing limited partner interests | 05/06/2015 | J(1) | 101,755 | A | (1) | 1,229,154 | I | By Travis A. Mathis Special Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 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: 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 | ||||||||
Subordinated units representing limited partner interests | (2) | 05/06/2015 | J(1) | 31,314 | (2) | (2) | Common units representing limited partner interests | 31,314 | (1) | 31,314 | D | ||||
Subordinated units representing limited partner interests | (2) | 05/06/2015 | J(1) | 101,454 | (2) | (2) | Common units representing limited partner interests | 101,454 | (1) | 132,768 | I | By Conti Street Partners, L.P. | |||
Subordinated units representing limited partner interests | (2) | 05/06/2015 | J(1) | 317,903 | (2) | (2) | Common units representing limited partner interests | 317,903 | (1) | 450,671 | I | By Conti Street Minerals, L.P. | |||
Subordinated units representing limited partner interests | (2) | 05/06/2015 | J(1) | 771,379 | (2) | (2) | Common units representing limited partner interests | 771,379 | (1) | 1,222,050 | I | By WM Capital Partners, L.P. | |||
Subordinated units representing limited partner interests | (2) | 05/06/2015 | J(1)(4) | 247,701 | (2) | (2) | Common units representing limited partner interests | 247,701 | (1)(4) | 1,469,751 | I | By The Estate of Isabel Brown Wilson | |||
Subordinated units representing limited partner interests | (2) | 05/06/2015 | J(1) | 133,277 | (2) | (2) | Common units representing limited partner interests | 133,277 | (1) | 1,603,028 | I | By Travis A. Mathis Special Trust | |||
Preferred units representing limited partner interests | (3) | 05/06/2015 | J(1) | 24,000 | (3) | (3) | Common and subordinated units representing LP interests | (3) | (1) | 1,627,028 | I | By Conti Street Minerals, L.P. |
Explanation of Responses: |
1. Acquired pursuant to the Merger and Contribution Agreement, dated May 6, 2015, by and among Black Stone Minerals Merger Sub LLC, Black Stone Minerals Company, L.P., and Black Stone Minerals, L.P. |
2. Each subordinated unit will convert into one common unit representing a limited partner interest in the Issuer at the end of the subordination period described in the Issuer's Registration Statement on Form S-1 (File No. 333-202875). |
3. Each preferred unit may be converted at any time at the option of the holder thereof into common units at the then-effective conversion rate. In addition, on January 1 of each year from 2016 to 2018 a number of preferred units will automatically convert into common units and subordinated units at the then-effective conversion rate, as described in the Issuer's Registration Statement on Form S-1 (File No. 333-202875). |
4. The reporting person is a beneficiary of The Estate of Isabel Brown Wilson (the "Estate") and has served as co-executor of the Estate for a period of more than 12 months. The securities held by the Estate have not been transferred to the reporting person. |
Remarks: |
/s/ Steve Putman, Attorney-in-Fact for William N. Mathis | 05/08/2015 | |
** 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 Number. |