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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF 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
1. | Name and Address of Reporting Person* |
2. | Date of Event Requiring Statement (Month/Day/Year) |
3. | I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) |
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Martin Gas Sales LLC (Last) (First) (Middle) |
(1) |
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4200 Stone Road (Street) |
4. | Issuer Name and Ticker or Trading Symbol | 5. | Relationship of Reporting Person(s) to Issuer (Check All Applicable) |
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Martin Midstream Parners L.P. (MMLP) |
o | Director | x | 10% Owner | ||||||||
o | Officer (give title below) | |||||||||||
6. | If Amendment, Date of Original (Month/Day/Year) | o | Other (specify below) | |||||||||
Kilgore, Texas 75662 (City) (State) (Zip) |
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7. | Individual or Joint/Group Filing (Check Applicable Line) |
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x | Form Filed by One Reporting Person | |||||||||||
o | Form Filed by More than One 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, see Instruction 5(b)(v). |
Table I Non-Derivative Securities Beneficially Owned | |||||||||
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) |
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Table II Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. | Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exer- cisable |
Expi- ration Date |
Title |
Amount or Number of Shares |
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Limited partner interests | (2) | -- | Subordinated units | 1,543,797(3) | nil | D | |||||||
Explanation of Responses:
(1) Date of effectiveness of the Registration Statement on Form S-1 filed by the Issuer in connection with initial public offering, estimated to be on or about October 30, 2002.
(2) The date exercisable will be the day of issuance which will be the date of the closing of the Issuer's initial public offering, estimated to be on or about November 6, 2002.
(3) The Subordinated Units will be issued to Martin Gas Sales LLC upon the closing of the Issuer's initial public offering, estimated to be on or about November 6, 2002.
By: Martin Resource Management Corporation, its Sole Member | ||
/s/ Ruben S. Martin | 10/30/2002 | |
**Signature of Reporting Person |
Date |
** | 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. |
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