| 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 09/06/2016 |
3. Issuer Name and Ticker or Trading Symbol
Western Refining Logistics, LP [ WNRL ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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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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| 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 representing limited partner interests | 8,579,623(1)(2) | I(1)(2) | Through Western Refining Southwest, Inc. |
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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) | 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: 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 | ||||
| Subordinated Units representing limited partner interests | (3) | (3) | Common Units | 22,811,000 | (3) | I(1)(2)(3) | Through Western Refining Southwest, Inc. |
| Explanation of Responses: |
| 1. On September 6, 2016, pursuant to that certain Contribution Agreement by and between Western Acquisition Holdings, LLC ("WAH") and Western Refining Southwest, Inc. ("WRSW"), WAH contributed all of its limited partner interests in Northern Tier Energy LP to WRSW in exchange for 1,584 shares of common stock of WRSW (the "Acquisition"). |
| 2. WRSW directly owns 8,579,623 common units representing limited partner interests in the Issuer and 22,811,000 subordinated units representing limited partner interests in the Issuer. As a result of the Acquisition, WAH may be deemed to beneficially own the units of the Issuer directly owned by WRSW through its ability to control WRSW, but disclaims beneficial ownership except to the extent of its pecuniary interest therein. |
| 3. Each subordinated unit will convert into one common unit representing a limited partner interest in the Issuer at the end of the subordination period as set forth in the Second Amended and Restated Agreement of Limited Partnership of the Issuer, which is filed as Exhibit 3.1 to the Issuer's Current Report on Form 8-K filed with the U.S. Securities and Exchange Commission on November 2, 2015. |
| Remarks: |
| WAH has a controlling interest in WRSW, which has the right to appoint all of the directors of the Board of Directors of Western Refining Logistics GP, LLC, the general partner of the Issuer. Therefore, WAH may be deemed a director by deputization. |
| /s/ Karen B. Davis, Executive Vice President and Chief Financial Officer | 09/16/2016 | |
| ** 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. | ||