SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
CVR ENERGY INC

(Last) (First) (Middle)
2277 PLAZA DRIVE, SUITE 500

(Street)
SUGARLAND TX 77479

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CVR PARTNERS, LP [ UAN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/28/2013
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Units representing Limited Partner Interests 05/28/2013 S 12,000,000 D $24.38 38,920,000 I Please see all footnotes(1)(2)(3)(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
CVR ENERGY INC

(Last) (First) (Middle)
2277 PLAZA DRIVE, SUITE 500

(Street)
SUGARLAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Refining & Marketing Holdings, Inc.

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGAR LAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Refining & Marketing, Inc.

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGAR LAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Nitrogen Fertilizers, Inc.

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGAR LAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Resources, LLC

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGAR LAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
CL JV Holdings, LLC

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGARLAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Terminal, Inc.

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGARLAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Pipeline, Inc.

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGARLAND TX 77479

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Coffeyville Crude Transportation, Inc.

(Last) (First) (Middle)
2277 PLAZA DRIVE
SUITE 500

(Street)
SUGAR LAND TX 77479

(City) (State) (Zip)
Explanation of Responses:
1. This filing is being made by CVR Energy, Inc. ("CVR Energy"), Coffeyville Nitrogen Fertilizers, Inc. ("CNF"), Coffeyville Refining & Marketing Holdings, Inc. ("CRM Holdings"), Coffeyville Refining & Marketing, Inc. ("CRM"), CL JV Holdings, LLC ("CL JV"), Coffeyville Resources, LLC ("CRLLC"), Coffeyville Terminal, Inc. ("CT"), Coffeyville Pipeline, Inc. ("CP") and Coffeyville Crude Transportation, Inc. ("CCT").
2. CNF and CRM Holdings are direct, wholly-owned subsidiaries of CVR Energy. CRM is a direct, wholly-owned subsidiary of CRM Holdings. CT, CP and CCT are direct, wholly-owned subsidiaries of CRM. CRM owns 69% of the outstanding equity interests in CL JV, and CNF owns 31% of the outstanding equity interests in CL JV. CL JV directly owns 67.6% of the outstanding equity interests in CRLLC, CNF directly owns 14.4% of the outstanding equity interests in CRLLC, CRM directly owns 16.04% of the outstanding equity interests in CRLLC, CT directly owns .49% of the outstanding equity interests in CRLLC, CP directly owns .49% of the outstanding equity interests in CRLLC, and CCT directly owns .98% of the outstanding equity interests in CRLLC.
3. Subsequent to the reported transaction on this form, CRLLC directly owned approximately 53% of the outstanding common units representing limited partner interests (the "Common Units") of CVR Partners, LP (the "Partnership"). All other reporting persons' ownership of the Partnership's outstanding Common Units was indirect through CRLLC.
4. The reporting persons disclaim beneficial ownership of all Common Units reported herein in excess of their pecuniary interest, if any, and this report shall not be deemed an admission that any such person or entity is the beneficial owner of, or has any pecuniary interest in, such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
CVR ENERGY, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE REFINING & MARKETING HOLDINGS, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE REFINING & MARKETING, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE NITROGEN FERTILIZERS, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE RESOURCES, LLC, By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
CL JV HOLDINGS, LLC, By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE TERMINAL, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE PIPELINE, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
COFFEYVILLE CRUDE TRANSPORTATION, INC., By: /s/ Susan M. Ball; Chief Financial Officer and Treasurer 05/30/2013
** 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 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).
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.