SEC Form 4 · accession 0001245156-15-000039
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Lilley
Director
Period of report
Apr 29, 2015
Accepted (ET)
Apr 30, 2015 · 2:41 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 | Apr 29, 2015 | M | 2,514 | — | A | 9,445 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | — | Apr 29, 2015 | M | 2,514 | D | Apr 29, 2015 | Apr 29, 2015 | Common Stock | 2,514 | 3,849 | D |
Explanation of responses
- F1Vesting and settlment of restricted stock units previously granted by the Board of Directors pursuant to the 2011 Long-Term Incentive Plan.
- F2Balance includes 129 restricted stock units and 3,720.02 phantom stock.