SEC Form 4 · accession 0000050104-18-000158
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Lilley
Director
Period of report
Jun 29, 2018
Accepted (ET)
Jul 3, 2018 · 4:05 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 | — | Jun 29, 2018 | A | 17 | A | — | — | Common Stock | 17 | 4,008 | D |
Explanation of responses
- F1Represents dividend 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 retirement from the board.