SEC Form 4 · accession 0000050104-17-000215
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jim W Nokes
Director
Period of report
Sep 29, 2017
Accepted (ET)
Oct 2, 2017 · 6:41 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000050104
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF1 | — | Sep 29, 2017 | A | 4 | A | — | — | Common Stock | 4 | 775 | D |
Explanation of responses
- F1Dividend equivalent rights accrued to previously-granted phantom stock awards, which were awarded under the director's deferred compensation plan. The phantom stock will vest and be settled in shares of common stock (on a one-for-one basis) on the earliest of death, disability, or the vesting and payout of the underlying award to which the dividend equivalents relate.