SEC Form 4 · accession 0000050104-18-000060
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Blane W. Peery
Officer — Vice President and Controller
Period of report
Feb 25, 2018
Accepted (ET)
Feb 27, 2018 · 6:46 pm EST
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,F2 | Feb 25, 2018 | M | 2,855 | — | A | 6,697 | D | |
| Common StockF2 | Feb 25, 2018 | F | 696 | $94.53 | D | 6,001 | 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 Unit AwardF1 | — | Feb 25, 2018 | M | 1,883 | D | — | — | Common Stock | 1,883 | 0 | D |
Explanation of responses
- F1Vesting and settlement of 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 an ANDV stock price performance multiple, and were settled in shares of common stock upon certification by the Compensation Committee.
- F2Includes 190.45 shares of common stock held through the Andeavor 401(k) Plan (based upon a plan statement dated as of December 31, 2017).
- F3These 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.