SEC Form 4 · accession 0000899243-18-026148
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gregory James Goff
Officer — President and CEO · Director
Period of report
Oct 1, 2018
Accepted (ET)
Oct 3, 2018 · 8:50 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,F2 | Oct 1, 2018 | A | 160,906 | — | A | 773,569 | D | |
| Common StockF3 | Oct 1, 2018 | D | 773,569 | — | D | 0 | 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 UnitsF4 | — | Oct 1, 2018 | D | 120,035 | D | — | — | Common Stock | 120,035 | 0 | D |
| Stock OptionsF5 | — | Oct 1, 2018 | D | 33,513 | D | — | May 3, 2020 | Common Stock | 33,513 | 0 | D |
| Stock OptionsF6 | — | Oct 1, 2018 | D | 118,000 | D | — | May 5, 2020 | Common Stock | 118,000 | 0 | D |
Explanation of responses
- F1Vesting of Total Shareholder Return ("TSR")-based performance share award previously granted under the Issuer's Amended and Restated 2011 Long-Term Incentive Plan. The performance share award was accelerated upon the change of control of the Issuer pursuant to the Agreement and Plan of Merger, dated as of April 29, 2018, by and among the Issuer, Marathon Petroleum Corporation ("MPC"), Mahi Inc. and Mahi LLC (as amended, the "Merger Agreement"), and performance was certified by the Compensation Committee.
- F2Includes 625.717 shares held through the Andeavor 401(k) plan (based upon a statement dated September 18, 2018). Also includes 23,844 shares gifted on August 29, 2018 by the reporting person from existing holdings to a trust of which the reporting person is a trustee and the beneficiaries are members of the reporting person's immediate family.
- F3Pursuant to the Merger Agreement, at the effective time, each outstanding share of the Issuer's common stock was cancelled and became exchangeable for, at the holder's election, either $152.27 in cash or 1.87 shares of MPC common stock, subject to an allocation and proration whereby the outstanding shares of Issuer's common stock would be exchanged for approximately $3.5 billion in cash with the balance of shares exchanged for MPC shares. The TSR-based performance share award referenced above was assumed by MPC and converted into a time-based restricted stock unit award denominated in a number of MPC shares equal to the number of shares certified by the Compensation Committee as to performance for such award multiplied by 1.87.
- F4Pursuant to the Merger Agreement, at the effective time, each outstanding market stock unit award was assumed by MPC and converted into a time-based restricted stock unit award denominated in a number of MPC shares equal to the number of shares certified by the Compensation Committee as to performance for such award multiplied by 1.87.
- F5Pursuant to the Merger Agreement, at the effective time, this exercisable stock option was assumed by MPC and converted into an exercisable stock option to purchase 62,669 shares of MPC common stock at an exercise price of $7.31 per share.
- F6Pursuant to the Merger Agreement, at the effective time, this exercisable stock option was assumed by MPC and converted into an exercisable stock option to purchase 220,660 shares of MPC common stock at an exercise price of $6.92 per share..