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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 | ||||||||
Subordinated Units representing limited partner interests | $ 0 | 12/16/2013 | J(1)(2)(3) | 28,789,989 (1) (2) (3) | (4) | (4) | Common Units representing limited partner interests (4) | 28,789,989 | (2) (3) | 28,789,989 (1) (2) (3) | I (1) | See foonotes (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
VALERO ENERGY CORP/TX ONE VALERO WAY SAN ANTONIO, TX 78249 |
X | |||
Valero Refining & Marketing Co ONE VALERO WAY SAN ANTONIO, TX |
X | |||
PREMCOR USA INC ONE VALERO WAY SAN ANTONIO, TX 78249 |
X | |||
Valero Terminaling & Distribution Co ONE VALERO WAY SAN ANTONIO, TX 78249 |
X | |||
Premcor Pipeline Co. ONE VALERO WAY SAN ANTONIO, TX 78249 |
X | |||
Premcor Refining Group Inc. ONE VALERO WAY SAN ANTONIO, TX 78249 |
X | |||
Valero Refining Company-Tennessee, L.L.C. ONE VALERO WAY SAN ANTONIO, TX 78249 |
X | |||
VALERO ENERGY PARTNERS GP LLC ONE VALERO WAY SAN ANTONIO, TX 78249 |
X |
/s/ J. Stephen Gilbert, Authorized Officer | 12/16/2013 | |
**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) | This Form 4 is being filed jointly by Valero Energy Corporation (?Valero?), Valero Refining and Marketing Company (?VRMC?), Premcor USA Inc. (?Premcor USA?), Valero Terminaling and Distribution Company (?VTDC?), The Premcor Pipeline Co. (?Premcor Pipeline?), The Premcor Refining Group Inc. (?Premcor Refining?), Valero Refining Company-Tennessee, L.L.C. (?VRCT?) and Valero Energy Partners GP LLC (the ?General Partner?). VRMC and Premcor USA are wholly owned subsidiaries of Valero. VTDC is a wholly owned subsidiary of VRMC. The General Partner is a wholly owned subsidiary of VTDC. Premcor Pipeline and Premcor Refining are wholly owned subsidiaries of Premcor USA. VRCT is a wholly owned subsidiary of Premcor Refining. Accordingly, Valero may be deemed to indirectly beneficially own securities of Valero Energy Partners LP (the ?Partnership?) owned directly by VTDC, Premcor Pipeline, Premcor Refining, VRCT and the General Partner. |
(2) | In connection with the closing of the initial public offering of the Partnership, VTDC, Premcor Pipeline, Premcor Refining, VRCT and the General Partner contributeed certain assets to the Partnership and (i) (A) VTDC received 2,070,019 common units and 5,164,289 subordinated units, (B) Premcor Pipeline received 7,734,994 common units and 19,297,278 subordinated units, (C) Premcor Refining received 719,502 common units and 1,795,015 subordinated units and (D) VRCT received 1,015,474 common units and 2,533,407 subordinated units, collectively representing a 68.6% limited partner interest in the Partnership and (ii) the General Partner received 1,175,102 general partner units, representing a 2% general partner interest in the Partnership, and incentive distribution rights represeting the right to receive an increasing percentage of quarterly distributions as set forth in the Partnership?s registration statement on Form S-1 (No. 333-191259) (the ?Regstration Statement?). |
(3) | (continued from footnote 2) In certain circumstances, if the General Partner is removed as the general partner of the Partnership, the General Partner will have the right to convert its general partner interest and its incentive distribution rights into common units as set forth in the Registration Statement. |
(4) | Each subordinated unit will convert into one common unit at the end of the subordination period as set forth in the Registration Statement. |