YORKTOWN ENERGY PARTNERS IV LP 4

4 · CROSSTEX ENERGY INC · Filed Jan 16, 2004

Form 4

Period: 2004-01-16

10% Owner

Transactions

Exercise/Conversion
Common Stock, par value $0.01 per share
[F1]
2004-01-16+4,868,748→ 7,188,748 total
Sale
Common Stock, par value $0.01 per share
2004-01-16$18.24/sh−1,371,000$25,007,040→ 5,817,748 total
Exercise/Conversion
Series A 7 1/2% Cumulative Convertible Preferred Stock
[F1][F2][F3][F4]
2004-01-16$5.00/sh−2,215,625$11,078,125→ 0 total
Exercise: $5.00→ Common Stock (4,431,250 underlying)
Exercise/Conversion
Series B 7 1/2% Cumulative Convertible Preferred Stock
[F1][F2][F3][F5]
2004-01-16$6.00/sh−218,749$1,312,494→ 0 total
Exercise: $6.00→ Common Stock (437,498 underlying)

Footnotes (5)

[F1]Subject to certain adjustments as provided in the Certificate of Designations for such series of preferred stock that converted into the Common Stock upon the closing of the Issuer's initial public offering.
[F2]Immediately
[F3]None
[F4]Reflects a 2-for-1 stock split, to be effected in the form of a stock dividend, to be effective upon January 16, 2004, the closing of the Issuer's initial public offering, pursuant to which each share of Series A 7??% Cumulative Convertible Preferred Stock will become convertible into 2 shares of Common Stock.
[F5]Reflects a 2-for-1 stock split, to be effected in the form of a stock dividend, to be effective upon January 16, 2004, the closing of the Issuer's initial public offering, pursuant to which each share of Series B 7??% Cumulative Convertible Preferred Stock will become convertible into 2 shares of Common Stock.

Signature

/s/ Leslie J. Wylie, by power of attorney|2004-01-16

Documents

2 files