SEC Form 4 · accession 0001558785-17-000062
CVR Refining, LP · CVRR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan M. Ball
Officer — CFO and Treasurer
Period of report
Dec 16, 2017
Accepted (ET)
Dec 19, 2017 · 6:53 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001558785
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common UnitsF1 | Dec 16, 2017 | M | 33,476 | $13.07 | A | 41,476 | D | |
| Common UnitsF1 | Dec 16, 2017 | D | 33,476 | $13.07 | D | 8,000 | D | |
| Common UnitsF2 | Dec 18, 2017 | M | 15,411 | $13.07 | A | 23,411 | D | |
| Common UnitsF2 | Dec 18, 2017 | D | 15,411 | $13.07 | D | 8,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive UnitsF3,F1 | — | Dec 16, 2017 | M | 33,476 | D | Dec 16, 2017 | Dec 16, 2017 | Common Units | 33,476 | 66,950 | D |
| Incentive UnitsF3,F2 | — | Dec 18, 2017 | M | 15,411 | D | Dec 18, 2017 | Dec 18, 2017 | Common Units | 15,411 | 15,411 | D |
Explanation of responses
- F1This transaction represents the cash settlement of vested Incentive Units awarded on December 31, 2016.
- F2This transaction represents the cash settlement of vested Incentive Units awarded on December 18, 2015.
- F3The Incentive Units were awarded to the reporting person by CVR Energy, Inc., an affiliate of CVR Refining, LP and the parent of the general partner of CVR Refining, LP.