SEC Form 4 · accession 0001694426-18-000173
Delek US Holdings, Inc. · DK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony L. Miller
Officer — Executive Vice President
Period of report
Jun 12, 2018
Accepted (ET)
Jun 14, 2018 · 3:47 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 | Jun 12, 2018 | M | 1,625 | $30.10 | A | 12,897 | D | |
| Common StockF2 | Jun 12, 2018 | M | 1,625 | $36.53 | A | 14,522 | D | |
| Common StockF3 | Jun 12, 2018 | D | 2,005 | $54.03 | D | 12,517 | D | |
| Common StockF4 | Jun 12, 2018 | F | 305 | $54.03 | D | 12,212 | D | |
| Common Stock | Jun 12, 2018 | S | 2,143 | $54.0436 | D | 10,069 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightF1 | $30.10 | Jun 12, 2018 | M | 1,625 | D | Jun 10, 2017 | Jun 10, 2024 | Common Stock | 1,625 | 0 | D |
| Stock Appreciation RightF2 | $36.53 | Jun 12, 2018 | M | 1,625 | D | Jun 10, 2017 | Jun 10, 2025 | Common Stock | 1,625 | 1,625 | D |
Explanation of responses
- F1Reflects shares issued upon the exercise of stock appreciation rights granted to the Reporting Person on June 10, 2014, which vested ratably on June 10 of 2015, 2016, 2017 and 2018 and which were exercised by the Reporting Person on June 12, 2018.
- F2Reflects shares issued upon the exercise of stock appreciation rights granted to the Reporting Person on June 10, 2015, which vested ratably on June 10 of 2016, 2017 and 2018 and which were exercised by the Reporting Person on June 12, 2018.
- F3Disposition of shares of common stock to the Issuer for payment of the exercise price in connection with the exercise of the stock appreciation rights.
- F4Shares withheld to cover the tax withholding obligations in connection with the exercise of the stock appreciation rights.