Amended Statement of Beneficial Ownership (3/a)
08 Oktober 2013 - 12:19AM
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
Estimated average burden
hours per response...
0.5
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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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First Reserve GP XI, Inc.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
6/19/2013
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3. Issuer Name
and
Ticker or Trading Symbol
CRESTWOOD MIDSTREAM PARTNERS LP [NRGM]
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(Last)
(First)
(Middle)
ONE LAFAYETTE PLACE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
GREENWICH, CT 06830
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
6/19/2013
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ 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
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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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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)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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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 of Derivative Security: 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
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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Remarks:
(1) This amendment to the Initial Statement of Beneficial Ownership of Securities on Form 3 is being filed to include the Power of Attorney of William E. Macaualay, attached hereto as Exhibit 24.
Exhibit List:
Exhibit 24 - Power of Attorney of William E. Macaualay
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No securities are beneficially owned.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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First Reserve GP XI, Inc.
ONE LAFAYETTE PLACE
GREENWICH, CT 06830
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X
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First Reserve GP XI, L.P.
ONE LAFAYETTE PLACE
GREENWICH, CT 06830
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X
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MACAULAY WILLIAM E
ONE LAFAYETTE PLACE
GREENWICH, CT 06830
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X
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FR Midstream Holdings LLC
ONE LAFAYETTE PLACE
GREENWICH, CT 06830
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X
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FR XI CMP Holdings LLC
ONE LAFAYETTE PLACE
GREENWICH, CT 06830
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X
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Crestwood Holdings Partners, LLC
700 LOUISIANA STREET, SUITE 2060
HOUSTON, TX 77002
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X
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Crestwood Holdings II LLC
700 LOUISIANA STREET, SUITE 2060
HOUSTON, TX 77002
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X
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Crestwood Holdings LLC
700 LOUISIANA STREET, SUITE 2060
HOUSTON, TX 77002
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X
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Crestwood Gas Services Holdings LLC
700 LOUISIANA STREET, SUITE 2060
HOUSTON, TX 77002
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X
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Signatures
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/s/ Michael France, Managing Director for First Reserve GP XI, Inc.
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Anne E. Gold, Attorney-in-Fact for William E. Macaulay
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Michael France, Managing Director for First Reserve GP XI, Inc. the General Partner of First Reserve GP XI, L.P.
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Michael France, Managing Director for First Reserve GP XI, Inc., the General Partner of First Reserve GP XI, L.P., the Managing Member of FR Midstream Holdings LLC
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Michael France, Managing Director for First Reserve GP XI, Inc., the General Partner of First Reserve GP XI, L.P., the Managing Member of FR Midstream Holdings LLC, the Managing Member of FR XI CMP Holdings LLC
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Joel C. Lambert, Senior Vice President for Crestwood Holdings Partners, LLC
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Joel C. Lambert, Senior Vice President for Crestwood Holdings II LLC
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Joel C. Lambert, Senior Vice President for Crestwood Holdings LLC
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10/7/2013
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**
Signature of Reporting Person
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Date
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/s/ Kelly J. Jameson, Senior Vice President for Crestwood Gas Services Holdings LLC
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10/7/2013
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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