Sec Form 3 Filing - Tangen Darren J. @ ALPINE SUMMIT ENERGY PARTNERS, INC. - 2022-12-30

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, 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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1. Name and Address of Reporting Person
Tangen Darren J.
2. Issuer Name and Ticker or Trading Symbol
ALPINE SUMMIT ENERGY PARTNERS, INC. [ ALPS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O ALPINE SUMMIT ENERGY PARTNERS, INC., 3322 WEST END AVE., SUITE 450
3. Date of Earliest Transaction (MM/DD/YY)
12/30/2022
(Street)
NASHVILLE, TN37203
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Class A Subordinate Voting Shares 4,000 D
Class A Subordinate Voting Shares 1,026,576 I Held by Darren and Nicole Tangen Living Trust
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $ 3.56 ( 1 ) 12/14/2031 Class A Subordinate Voting Shares 192,550 D
Deferred Share Units ( 2 ) ( 2 ) ( 2 ) Class A Subordinate Voting Shares 56,316 D
Class B Non-Voting Units $ 0( 3 ) ( 3 ) ( 3 ) Class A Subordinate Voting Shares 82,831 I Held by Darren and Nicole Tangen Living Trust
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Tangen Darren J.
C/O ALPINE SUMMIT ENERGY PARTNERS, INC.
3322 WEST END AVE., SUITE 450
NASHVILLE, TN37203
X
Signatures
/s/ Reagan Brown as attorney-in-fact for Darren Tangen 12/30/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The options were granted on December 14, 2021, and vest as follows: 48,138 on each of December 14, 2021, December 14, 2022, and December 14, 2023; and 48,136 on December 14, 2024.
( 2 )33,708 deferred share units (DSUs) vest on June 1, 2022; 22,608 DSUs vest on June 1, 2023. The underlying Class A subordinate voting shares will not be issued to the reporting person, and the reporting person shall not have any voting or dispositive rights with respect to the underlying Class A subordinate voting shares, until termination of the reporting person's employment or services as a director of the Issuer.
( 3 )Represents Class B non-voting units of HB2 Origination, LLC, which are exchangeable at the option of the reporting person for Class A subordinate voting shares of the Issuer on a one-for-one basis.

Remarks:
Exhibit 24.1 Power of Attorney

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).
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