SEC Filing | CrossAmerica Partners

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SEC FORM 4/A 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

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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^*

CIRCLE K STORES INC

(Last)

(First)

(Middle)

1130 WEST WARNER ROAD

BUILDING B

(Street)

TEMPE

85284

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
CrossAmerica Partners LP [ CAPL ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
11/10/2017

4. If Amendment, Date of Original Filed (Month/Day/Year)
03/05/2018

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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Units	11/10/2017		J		126,491	A	$26.0889	7,194,013⁽¹⁾	I	See Footnote⁽²⁾

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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)

1. Name and Address of Reporting Person^*

CIRCLE K STORES INC

(Last)

(First)

(Middle)

1130 WEST WARNER ROAD

BUILDING B

(Street)

TEMPE

85284

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

CST BRANDS, LLC

(Last)

(First)

(Middle)

19500 BULVERDE ROAD

(Street)

SAN ANTONIO

78259

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

CST USA INC.

(Last)

(First)

(Middle)

19500 BULVERDE ROAD

(Street)

SAN ANTONIO

78259

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

CST Services LLC

(Last)

(First)

(Middle)

ONE VALERO WAY

19500 BULVERDE ROAD

(Street)

SAN ANTONIO

78259

(City)

(State)

(Zip)

Explanation of Responses:

1. This Form 4/A is being filed to correct the original Form 4 filed on March 5, 2018 (the "Original Form 4"). The Original Form 4 incorrectly reported the amount of securities owned following the reported transaction as 7,070,010. This Form 4/A correctly reports the amount of securities owned following the reported transaction as 7,194,013.

2. Circle K Stores Inc., a Texas corporation indirectly owns 100% of CST Brands, LLC, a Delaware limited liability company, the owner of CST USA Inc., a Delaware corporation, which is the parent of CST Services LLC, a Delaware limited liability company. As a result, Circle K Stores Inc. is deemed the beneficial owner of CrossAmerica Partners LP, a Delaware limited partnership. CST Brands, LLC and CST USA Inc. are indirect beneficial owners of the common units held by CST Services LLC.

Remarks:

	/s/ Giovanna Rueda, Authorized Representative of Circle K Stores Inc.	03/08/2018
	/s/ Giovanna Rueda, Corporate Secretary of CST USA Inc.	03/08/2018
	/s/ Giovanna Rueda, Corporate Secrertary of CST Services LLC	03/08/2018
	/s/ Giovanna Rueda, Corporate Secretary CST Brands, LLC	03/08/2018
	** 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).
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