SEC Form 4 · accession 0001694426-18-000076

Delek US Holdings, Inc. · DK

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive Vice President

Period of report

Mar 9, 2018

Accepted (ET)

Mar 13, 2018 · 8:40 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
Common Stock^F1	Mar 9, 2018	M	16,250	$30.98	A	28,656	D
Common Stock^F2	Mar 9, 2018	D	13,472	$37.37	D	15,184	D
Common Stock^F3	Mar 9, 2018	F	788	$37.37	D	14,396	D
Common Stock^F4	Mar 9, 2018	S	1,990	$37.37	D	12,406	D
Common Stock	Mar 10, 2018	A	3,757	$0.00	A	16,163	D
Common Stock	Mar 10, 2018	F	98	$37.26	D	16,065	D
Common Stock	Mar 10, 2018	F	74	$37.26	D	15,991	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Appreciation Right^F1	$30.98	Mar 9, 2018	M	16,250	D	—	Sep 10, 2025	Common Stock	16,250	16,250	D

F1The stock appreciation right with respect to a total of 32,500 shares was granted September 10, 2015, and vested with respect to 25% of such shares on each of September 10, 2016 and 2017 and was exercised to the extent then vested by the reporting person on March 9, 2018.
F2Disposition of shares of common stock to Delek US Holdings, Inc. for payment of the exercise price in connection with the exercise of the stock appreciation right.
F3Shares withheld to cover the tax withholding obligation in connection with the exercise of the stock appreciation right.
F4The reported 1,990 shares of common stock sold on March 9, 2018 were acquired upon exercise of a stock appreciation right on the same day.