SEC Form 4 · accession 0001534701-16-000185
Phillips 66 · PSX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lawrence Michael Ziemba
Officer — Executive VP, Refining
Period of report
Dec 2, 2016
Accepted (ET)
Dec 5, 2016 · 3:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001534701
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 2, 2016 | M | 101,909 | $32.03 | A | 113,996 | D | |
| Common StockF1 | Dec 2, 2016 | S | 101,909 | $85.2412 | D | 12,087 | D | |
| Restricted Stock UnitsF2 | holding | — | — | — | 22,394 | D | ||
| Common StockF3 | holding | — | — | — | 2,508 | I | By Phillips 66 Savings Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F4 | $32.03 | Dec 2, 2016 | M | 101,909 | D | — | Feb 9, 2022 | Common Stock | 101,909 | 0 | D |
| Stock Options (Right to Buy)F5 | $62.17 | holding | — | — | — | — | Feb 7, 2023 | Common Stock | 23,900 | 23,900 | D |
| Stock Options (Right to Buy)F6 | $72.255 | holding | — | — | — | — | Feb 6, 2024 | Common Stock | 26,600 | 26,600 | D |
| Employee Stock Option (Right to Buy)F7 | $74.135 | holding | — | — | — | — | Feb 3, 2025 | Common Stock | 28,000 | 28,000 | D |
| Employee Stock Option (Right to Buy)F8 | $78.62 | holding | — | — | — | — | Feb 2, 2026 | Common Stock | 32,200 | 32,200 | D |
| Phantom StockF9,F10 | — | holding | — | — | — | — | — | Common Stock | 2,703 | 2,703 | D |
| Performance Stock UnitsF11,F12 | — | holding | — | — | — | — | — | Common Stock | 145,838 | 145,838 | D |
Explanation of responses
- F1The price reported above is a weighted average price. These shares were sold in multiple transactions at prices ranging from $85.00 to $85.67. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F10The shares of phantom stock were acquired under a Defined Contribution Makeup Plan providing for settlement upon termination of employment, subject to possible deferred payment in certain circumstances. The reporting of this transaction is not an acknowledgment that it is not an exempt transaction under an Excess Benefit Plan pursuant to Rule 16b-3(c).
- F11Performance Stock Units (PSUs) settle for shares of Phillips 66 common stock on a 1-for-1 basis at the end of the escrow period. The escrow period for performance periods beginning prior to 2009 ends upon separation of service. The escrow period for performance periods after 2009 ends on the earliest to occur of: (a) five years; (b) termination of employment as a result of layoff; (c) termination of employment after attainment of age 55 with five years of service; (d) termination of employment due to death or total disability; or (e) termination of employment following a change in control. The PSUs will be forfeited if the reporting person separates from service prior to the end of the escrow period for any reason other than those listed above. During the escrow period, the reporting person may not dispose of PSUs. The reporting person may also elect to defer settlement of PSUs until a later date.
- F12The Performance Stock Units do not have an expiration date.
- F2Restricted Stock Units settle for shares of Phillips 66 common stock on a 1-for-1 basis on the third anniversary of the grant provided performance criteria are met.
- F3Includes shares acquired through on-going acquisitions under 401(k) plan and/or routine dividend transactions that are exempt under rule 16a-1.
- F4The stock options became exercisable in three equal annual installments beginning on February 9, 2013.
- F5The stock options become exercisable in three equal annual installments beginning on February 7,2014.
- F6The stock options become exercisable in three equal annual installments beginning on February 6, 2015.
- F7These stock options become exercisable in three equal annual installments beginning on February 3, 2016.
- F8The stock options become exercisable in three equal annual installments beginning on February 2, 2017.
- F9The shares of phantom stock convert to Phillips 66 stock on a 1-for-1 basis.