SEC Form 4 · accession 0001694426-17-000104
Delek US Holdings, Inc. · DK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Avi Geffen
Director
Period of report
Jul 1, 2017
Accepted (ET)
Jul 5, 2017 · 6:24 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001694426
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jul 1, 2017 | A | 4,748 | — | A | 4,748 | D | |
| Common StockF1,F2 | Jul 1, 2017 | A | 6,000,000 | — | A | 6,000,000 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Effective July 1, 2017, Delek US Holdings, Inc. ("New Delek", formerly Delek Holdco, Inc.), Delek US Energy, Inc. ("Old Delek", formerly Delek US Holdings, Inc.), certain subsidiaries of New Delek, and Alon USA Energy, Inc. ("Alon") consummated mergers (the "Mergers") as a result of which Old Delek become a direct wholly owned subsidiary, and Alon became a direct and indirect wholly owned subsidiary, of New Delek. Pursuant to the Mergers, among other things, (i) each share of common stock of Old Delek was converted into one share of common stock of New Delek and (ii) each outstanding equity award granted under Old Delek's long-term incentive plans, whether vested or unvested, were automatically assumed by New Delek and converted into an equity award denominated in shares of New Delek common stock with substantially the same terms and conditions.
- F2Represents shares owned of record by Alon Israel Oil Company Ltd. Avi Geffen is the Chief Executive Officer of Alon Israel Oil Company Ltd. Mr. Geffen disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. This report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.