SEC Form 4 · accession 0001376139-15-000067
CVR ENERGY INC · CVI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan M. Ball
Officer — CFO and Treasurer
Period of report
Dec 28, 2015
Accepted (ET)
Dec 30, 2015 · 4:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001376139
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 28, 2015 | M | 5,593 | $39.71 | A | 5,593 | D | |
| Common StockF1 | Dec 28, 2015 | D | 5,593 | $39.71 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1 | — | Dec 28, 2015 | M | 5,593 | D | Dec 28, 2015 | Dec 28, 2015 | Common Stock | 5,593 | 0 | D |
Explanation of responses
- F1This transaction represents the cash settlement of vested Restricted Stock Units awarded on December 28, 2012.