SEC Form 4/A · accession 0001351541-17-000232
Delek US Holdings, Inc. · DK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Donald Norman Holmes
Officer — Executive Vice President
Period of report
Jun 14, 2017
Accepted (ET)
Jun 21, 2017 · 4:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001351541
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightF2,F1 | $16.21 | Jun 14, 2017 | M | 2,375 | D | — | Jun 10, 2022 | Common Stock | 2,375 | 2,500 | D |
Explanation of responses
- F1The stock appreciation right vested with respect to 6,500 shares on each of June 10, 2013, June 10, 2014, June 10, 2015 and June 10, 2016.
- F2This amendment is being filed to amend the Form 4 filed by the reporting person on June 16, 2017 to clarify that the number of derivative securities beneficially owned in box 9 of Table II should be 2,500 instead of 4,125.