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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Riverstone/Carlyle Energy Partners IV, L.P. 712 FIFTH AVENUE, 51ST FLOOR NEW YORK, NY 10019 |
 |  X |  |  |
R/C Energy GP IV, LLC 712 FIFTH AVENUE, 51ST FLOOR NEW YORK, NY 10019 |
 |  X |  |  |
/s/ Tom Walker, Managing Director of R/C Energy GP IV, LLC, the general partner of the reporting person | 04/19/2012 | |
**Signature of Reporting Person | Date | |
/s/ Tom Walker, Managing Director of the reporting person | 04/19/2012 | |
**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) | This form is filed jointly by R/C Energy GP IV, LLC ("Ultimate GP"), the general partner of Riverstone/Carlyle Energy Partners IV, L.P. ("GP"). |
(2) | These securities are directly held by R/C Dynamic Holdings, L.P. ("R/C"). GP is the general partner of R/C. GP and Ultimate GP may be deemed to have indirect ownership of these securities through R/C. R/C has filed a separate Form 3 with respect to these securities. |