Initial Statement of Beneficial Ownership (3)
24 Abril 2023 - 1:42PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
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Brecker Robert |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/24/2023
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3. Issuer Name and Ticker or Trading Symbol
CrossAmerica Partners LP [CAPL]
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(Last)
(First)
(Middle)
107 SACRAMENTO DRIVE, SUITE 400 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Executive Vice Pres Operations / |
(Street)
QUAKERTOWN, PA 18951
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Units | 9155 | D | |
Common Units | 1441 | I | By Spouse |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Phantom Units (1) | (2) | (2) | Common Units | 2364 | (1) | D | |
Phantom Units (1) | (3) | (3) | Common Units | 2135 | (1) | D | |
Phantom Units (1) | (4) | (4) | Common Units | 3434 | (1) | D | |
Explanation of Responses: |
(1) | Each phantom unit is the economic equivalent of one common unit ("Common Unit") representing a limited partner interest in CrossAmerica Partners L.P. and is accompanied by tandem distribution equivalent rights that entitle the holder to cash payments equal to the amount of distributions authorized to be paid to the holders of Common Units. |
(2) | On November 9, 2020, the reporting person was granted 3,546 phantom units. 50% of the grant will vest ratably over three years, each as of December 31, until December 31, 2023. 50% of the grant will vest upon death or disability, or retirement if such retirement is not adverse to the interests of the Issuer, as determined by the Board in its sole discretion. This 50% portion will expire, if unvested, 20 years from the grant date. The amount reported herein consists of 2,364 unvested units. |
(3) | On October 25, 2021, the reporting person was granted 2,562 phantom units. 50% of the grant will vest ratably over three years, each as of December 31, until December 31, 2024. 50% of the grant will vest upon death or disability, or retirement if such retirement is not adverse to the interests of the Issuer, as determined by the Board in its sole discretion. This 50% portion will expire, if unvested, 20 years from the grant date. The amount reported herein consists of 2,135 unvested units. |
(4) | On October 25, 2022, the reporting person was granted 3,434 phantom units. 50% of the grant will vest ratably over three years, each as of December 31, until December 31, 2025. 50% of the grant will vest upon death or disability, or retirement if such retirement is not adverse to the interests of the Issuer, as determined by the Board in its sole discretion. This 50% portion will expire, if unvested, 20 years from the grant date. The amount reported herein consists of 3,434 unvested units. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Brecker Robert 107 SACRAMENTO DRIVE SUITE 400 QUAKERTOWN, PA 18951 |
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| Executive Vice Pres Operations |
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Signatures
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Christina Casey-Best as attorney-in-fact for Robert Brecker | | 4/24/2023 |
**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 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). |
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 control number. |
CrossAmerica Partners (NYSE:CAPL)
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CrossAmerica Partners (NYSE:CAPL)
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