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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Cline Christopher C/O CLINE RESOURCE AND DEVELOPMENT COMP 3801 PGA BOULEVARD, SUITE 903 PALM BEACH GARDENS, FL 33410 |
X | Owns entity w/ director right |
/s/ Christopher Cline, Authorized Representative | 10/02/2012 | |
**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) | On October 2, 2012, Adena Minerals, LLC ("Adena") effected an in-kind distribution of 6,049,155 common units (the "Distributed Units") to its sole member, Foresight Reserves, L.P. ("Foresight"), for no additional consideration. Foresight immediately thereafter effected an in-kind distribution of all of the Distributed Units to its direct and indirect owners, for no additional consideration, including the distribution of 1,980,156 common units to Insight Resource, LLC ("Insight"), the general partner of Foresight. Insight immediately thereafter effected an in-kind distribution of 1,980,156 common units to its managing member, Cline Resource and Development Company ("CRDC"), for no additional consideration. CRDC immediately thereafter effected an in-kind distribution of 1,980,156 common units to its sole shareholder, the reporting person, for no additional consideration. [Continued in Footnote 2] |
(2) | [Footnote 1 continued] The Distributed Units had previously been indirectly beneficially owned by the reporting person through his being deemed to share voting and dispositive control over the common units held of record by Adena. |
(3) | The number of common units directly beneficially owned by the reporting person includes the 1,980,156 common units referenced in footnote (1) above, as well as 600 common units acquired by the reporting person on or about February 10, 2004 which were omitted from the reporting person's original Form 3 filed on January 12, 2007 and were also omitted from the subsequent Form 4s filed by the reporting person after his original Form 3 was filed. |
(4) | These common units are owned of record by Adena. The reporting person is deemed to share voting and dispositive control with CRDC, Insight, Foresight and Adena over the common units owned of record by Adena. |