SEC Form 4 · accession 0001694426-17-000107
Delek US Holdings, Inc. · DK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Frederec Green
Officer — EVP / COO
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 | 210,170 | — | A | 210,170 | D |
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)F1 | $9.17 | Jul 1, 2017 | A | 2,177 | A | — | Jun 10, 2018 | Common Stock | 2,177 | 2,177 | D |
| Employee Stock Option (Right to Buy)F1 | $9.17 | Jul 1, 2017 | A | 15,000 | A | — | Jun 10, 2019 | Common Stock | 15,000 | 15,000 | D |
| Stock Appreciation RightF1 | $6.98 | Jul 1, 2017 | A | 3,250 | A | — | Jun 10, 2020 | Common Stock | 3,250 | 3,250 | D |
| Stock Appreciation RightF1 | $14.25 | Jul 1, 2017 | A | 4,875 | A | — | Jun 10, 2021 | Common Stock | 4,875 | 4,875 | D |
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.