SEC Form 4 · accession 0001351541-17-000296
Delek US Holdings, Inc. · DK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark T. Page
Officer — Executive Vice President
Period of report
Jul 1, 2017
Accepted (ET)
Jul 3, 2017 · 9:56 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001351541
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jul 1, 2017 | D | 21,061 | — | D | 0 | D |
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 | $16.21 | Jul 1, 2017 | D | 800 | D | — | Jun 10, 2022 | Common Stock | 800 | 0 | D |
| Stock Appreciation RightF2 | $26.41 | Jul 1, 2017 | D | 24,500 | D | — | Dec 10, 2022 | Common Stock | 24,500 | 0 | D |
| Stock Appreciation RightF2 | $34.75 | Jul 1, 2017 | D | 6,500 | D | — | Jun 10, 2023 | Common Stock | 6,500 | 0 | D |
Explanation of responses
- F1Pursuant to the Agreement and Plan of Merger, dated as of January 2, 2017, as amended, by and among Delek US Holdings, Inc. ("Old Delek"), Alon USA Energy, Inc., and certain other parties thereto (the "Merger Agreement"), each outstanding share of common stock of Old Delek was exchanged on a one-for-one basis for a share of common stock of Delek Holdco, Inc., which was renamed Delek US Holdings, Inc. ("New Delek") in connection with the mergers provided for in the Merger Agreement.
- F2Pursuant to the Merger Agreement, each Stock Appreciation Right ("SAR"), whether vested or unvested, was automatically converted into an equivalent New Delek SAR.