SEC 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
|Estimated average burden|
|hours per response:
1. Name and Address of Reporting Person*
|2000 POST OASK BLVD, STE 100|
2. Date of Event Requiring Statement
3. Issuer Name and Ticker or Trading Symbol
Altus Midstream Co
[ ALTM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
5. If Amendment, Date of Original Filed
6. Individual or Joint/Group Filing (Check Applicable Line)
||Form filed by One Reporting Person
||Form filed by More than One Reporting Person
|Table I - Non-Derivative Securities Beneficially Owned|
|1. Title of Security (Instr.
Amount of Securities Beneficially Owned (Instr.
||3. Ownership Form: Direct (D) or Indirect (I) (Instr.
||4. Nature of Indirect Beneficial Ownership (Instr.
Table II - Derivative Securities Beneficially Owned|
(e.g., puts, calls, warrants, options, convertible securities)
|1. Title of Derivative Security (Instr.
||2. Date Exercisable and Expiration Date
||3. Title and Amount of Securities Underlying Derivative Security (Instr.
||4. Conversion or Exercise Price of Derivative Security
||5. Ownership Form: Direct (D) or Indirect (I) (Instr.
||6. Nature of Indirect Beneficial Ownership (Instr.
||Amount or Number of Shares
|Explanation of Responses:|
|No securities are beneficially owned.|
||Christopher J. Monk
||** Signature of Reporting Person
|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,
|** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
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,
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.|
Power of Attorney
(Limited to Execution of Forms 4 and 5)
I, Christopher J. Monk do hereby constitute and appoint Rajesh
Sharma and Patrick Whitman (with full power to each of them to
act alone) as my true and lawful agents and attorneys-in-fact
with full power and authority to execute and deliver on my behalf
in accordance with Securities and Exchange Commission rules and
regulations all reports of changes in my beneficial ownership of
securities issued by Altus Midstream Company on Forms 4 and 5 as
may be deemed advisable. I hereby ratify and confirm all that each
such agent and attorney-in-fact may do by virtue hereof with
respect to reports of my beneficial ownership of securities issued
by Altus Midstream Company.
This power of attorney shall remain in full force and effect until I
am no longer required to file Forms 4 and 5 with respect to changes
in my beneficial ownership of securities issued by Altus Midstream
Company, unless earlier revoked by me in writing delivered to the
attorneys-in-fact named above.
In witness whereof, I have duly executed this power of attorney
on the 19th day of December 2019.
/s/ Christopher J. Monk
State of Texas
County of Harris
On this 19th day of December 2019, before me personally
Christopher J. Monk, to me known, and acknowledged this instrument.
Witness my hand and official seal.
/s/ Melissa Garcia
[Seal for Melissa Garcia]
[Notary Public, State of Texas]
[My Commission Expires 02-08-2020]
[Notary ID 12640525-5]