SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
1185 AVENUE OF THE AMERICAS |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/04/2017
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3. Issuer Name and Ticker or Trading Symbol
Hess Midstream Partners LP
[ HESM ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Units |
6,249,827 |
I |
See footnote
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Subordinated Units |
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Common Units |
13,639,827 |
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I |
See footnote
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1. Name and Address of Reporting Person*
1185 AVENUE OF THE AMERICAS |
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(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
Remarks: |
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/s/Barry Schachter for Hess Corporation |
04/04/2017 |
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/s/Barry Schachter for Hess Investments North Dakota LLC |
04/04/2017 |
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** 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 Number. |
Hess Corporation
HESS MIDSTREAM PARTNERS LP
AUTHORIZATION FORM
Securities and Exchange Commission
Gentlemen:
Authorization is hereby given for each of Timothy B. Goodell, Indrani Franchini
and Barry Schachter to sign for and on behalf of the undersigned applications
for EDGAR filing codes, statements on Form 3 Initial Statement of Beneficial
Ownership of Securities, Form 4 Statement of Changes in Beneficial Ownership of
Securities and Form 5 Annual Statement of Beneficial Ownership of Securities to
be filed pursuant to Section 16(a) of the Securities Exchange Act of 1934.
This authorization shall continue in effect until revoked in writing.
Hess Corporation
April 3, 2017 By: \s\ John P. Rielly
Date SVP and Chief Financial Officer
____________________________________________________________________________
Hess Investments North Dakota LLC
SECTION 16 POWER OF ATTORNEY
With respect to holdings of and transactions in securities issued by Hess
Midstream Partners LP (the "Company"), the undersigned hereby constitutes and
appoints the officers of the Company listed on Schedule A attached hereto and as
may be amended from time to time, or any of them signing singly, with full power
of substitution and resubstitution, to act as the undersigned's true and lawful
attorney-in-fact to:
1. execute applications for EDGAR filing codes;
2. execute for and on behalf of the undersigned, Forms 3, 4, and 5 in accordance
with Section 16 of the Securities Exchange Act of 1934, as amended, and the
rules thereunder;
3. do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the United States Securities and Exchange Commission and any stock
exchange or similar authority; and
4. take any other action of any type whatsoever in connection with the foregoing
which, in the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally required by, the undersigned, it being understood
that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in the
discretion of such attorney-in-fact.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution and
resubstitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-facts substitute or substitutes, shall
lawfully do or cause to be done by virtue of this Power of Attorney and the
rights and powers herein granted.
The undersigned acknowledges that the attorneys-in-fact, in serving in such
capacity at the request of the undersigned, are not assuming, nor is any Company
assuming, any of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934, as amended.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 28th day of March, 2017.
Hess Investments North Dakota LLC
By: \s\John P. Rielly
Name: John P. Rielly
Title: Vice President
Schedule A
Individuals Appointed as Attorney-in-Fact with Full Power of Substitution and
Resubstitution
1. Timothy B. Goodell, Senior Vice President and General Counsel of Hess
Corporation
2. Indrani Franchini, Vice President, Chief Compliance Officer and Assistant
Corporate Secretary
3. Barry Schachter, Assistant General Counsel and Assistant Corporate Secretary