SEC Form 4 · accession 0001209191-16-089973
Western Refining, Inc. · WNR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carin Marcy Barth
Director
Period of report
Jan 4, 2016
Accepted (ET)
Jan 6, 2016 · 5:19 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001339048
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 4, 2016 | M | 28,428 | $0.00 | A | 104,774 | D | |
| Common Stock | holding | — | — | — | 2,140 | I | By Mitchell F. Barth 1997 Trust | |
| Common Stock | holding | — | — | — | 2,140 | I | By Leslye D. Barth 1997 Trust | |
| Common Stock | holding | — | — | — | 2,140 | I | By Melysa A. Barth 1997 Trust | |
| Common Stock | holding | — | — | — | 2,000 | I | By Barton Rhea Bowers Trust | |
| Common Stock | holding | — | — | — | 2,000 | I | By Brian Russel Bowers Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Share UnitsF1,F2,F3 | — | Jan 4, 2016 | M | 28,428 | D | — | — | Common Stock | 28,428 | 0 | D |
Explanation of responses
- F1On January 4, 2016, the reporting person retired from her position as a member of WNR's Board of Directors (the "Board"). Pursuant to deferral elections made by the reporting person, all shares underlying restricted share units ("RSU") subject to such deferrals will be delivered to the reporting person promptly following January 4, 2016, the date on which the reporting person retired.
- F2Each RSU represents a contingent right to receive one share of WNR common stock or, at the election of the Compensation Committee of the Board, the cash value thereof. The RSUs were issued as compensation for services as a director.
- F3Due to deferral elections made by the reporting person, the vested shares underlying the RSUs will be delivered to the reporting person promptly following January 4, 2016, the date on which the reporting person retired.