SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
07/25/2017
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3. Issuer Name and Ticker or Trading Symbol
UGI CORP /PA/
[ UGI ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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| No securities benefically owned |
0 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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|---|
| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
| Remarks: |
|
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/s/ Jessica A. Milner, Attorney-in-Fact for Ted A. Dosch |
07/26/2017 |
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** 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
5
(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. |
POWER OF ATTORNEY
I, Ted A. Dosch, hereby authorize and designate:
* Monica M. Gaudiosi, Vice President and General Counsel, Secretary
* Jessica A. Milner, Chief Securities and Governance Counsel and
Assistant Secretary
* Pamela A. Meredith, Counsel
* Jean M. Jones, Senior Paralegal
each of whom may act individually to execute, acknowledge and file in my name
and as my attorney-in-fact a Form 3, Initial Statement of Beneficial Ownership
of Securities, Forms 4, Statements of Changes in Beneficial Ownership, and Forms
5, Annual Statements of Changes in Beneficial Ownership, or any successor
reporting forms with the United States Securities and Exchange Commission (the
"SEC") for the purpose of complying with Section 16 of the Securities Exchange
Act of 1934, as amended (the "Act") and the rules and regulations thereunder
with respect to my position as a Director of UGI Corporation and its affiliates.
The duration of this authorization shall be coextensive with my reporting
obligations as a present or former Director of UGI Corporation and its
affiliates under Section 16 of the Act.
July 25, 2017 /s/ Ted A. Dosch
Date Name: Ted A. Dosch
STATE OF Illinois
COUNTY OF Will
On this 25 day of July, 2017, Ted A. Dosch personally appeared before me, and
acknowledged that he executed the foregoing instrument for the purposes therein
contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
/s/ Deborah A. Youtsey
Notary Public
_________________________________
My Commission Expires: 12/12/17
