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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1. Name and Address of Reporting Person*
Cox Melissa

(Last) (First) (Middle)
500 WOODWARD AVE
SUITE 2900

(Street)
DETROIT MI 48226

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/06/2022
3. Issuer Name and Ticker or Trading Symbol
DT Midstream, Inc. [ DTM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Sr. VP Admin.
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 1,025 D
Common Stock 358.766 I By 401(k) Plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units(1) (2) (2) Common Stock 512.86(3) (4) D
Restricted Stock Units(1) (5) (5) Common Stock 512.86(3) (4) D
Restricted Stock Units (6) (6) Common Stock 4,503.86(3) (4) D
Restricted Stock Units (7) (7) Common Stock 529.86(3) (4) D
Explanation of Responses:
1. Pursuant to the Employee Matters Agreement dated as of June 25, 2021 between DTE Energy Company and the Issuer, the Reporting Person received restricted stock units of the Issuer to replace restricted stock and restricted stock units held by the Reporting Person immediately before the legal and structural separation of the Issuer from DTE Energy Company (the "Spin-off") that were granted to the Reporting Person pursuant to an equity plan of DTE Energy Company and were forfeited in connection with the Spin-off.
2. This restricted stock unit will vest on January 29, 2023, subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date.
3. Includes shares of the Issuer's common stock acquired under the Issuer's dividend reinvestment plan.
4. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock with any fractional shares being paid in cash.
5. This restricted stock unit will vest on January 27, 2024, subject to the Reporting Persons' continued employment with the Issuer through the applicable vesting date.
6. This restricted stock unit will vest 25% on August 2, 2023, 25% on August 2, 2024 and 50% on August 2, 2025, subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date.
7. This restricted stock unit will vest on February 4, 2025, subject to the Reporting Person's continued employment with the Issuer through the applicable vesting date.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Andrew T. Hayner, Attorney-in-Fact 05/13/2022
** 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.