SEC Form 4 · accession 0000050104-17-000221
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cynthia J Warner
Officer — EVP, Operations
Period of report
Oct 10, 2017
Accepted (ET)
Oct 12, 2017 · 7:10 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000050104
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 10, 2017 | M | 17,715 | — | A | 33,945 | D | |
| Common Stock | Oct 10, 2017 | F | 7,432 | $106.33 | D | 26,513 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Stock UnitsF1 | — | Oct 10, 2017 | M | 10,169 | D | — | — | Common Stock | 10,169 | 0 | D |
Explanation of responses
- F1Represents the vesting and settlement of a market stock unit award previously granted under the Amended and Restated Andeavor 2011 Long-Term Incentive Plan. The market stock units vested on the third anniversary of the grant date, were adjusted based upon stock price performance multiple of the Issuer, and were settled in shares of common stock upon certification of such stock price performance multiple by the Compensation Committee of the Issuer.
- F2These shares of common stock were automatically withheld by the Issuer to satisfy tax withholding obligations associated with the vesting of the market stock unit award described in footnote 1.