SEC Form 4 · accession 0001245156-15-000002
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert W Goldman
Director
Period of report
Dec 31, 2014
Accepted (ET)
Jan 5, 2015 · 10:51 am EST
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 StockF2,F4,F1,F3 | — | Dec 31, 2014 | A | 35 | A | — | — | Common Stock | 35 | 32,661 | D |
Explanation of responses
- F1Security deemed to convert to common stock on a one for one basis.
- F2Dividend equivalent rights accrued to previously granted phantom stock awards which were part of corporation program for non-employee directors.
- F3Vesting and payout occurs on the earliest of death, disability or the vesting and payout of the underlying award with respect to which the dividend equivalents relate.
- F4Balance includes multiple phantom stock grants and previously accrued dividend equivalents, 21,000 stock options, and 2,846 restricted stock units.