SEC Form 4 · accession 0001245156-16-000063
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tracy Dawn Jackson
Officer — VP and Controller
Period of report
Jan 22, 2016
Accepted (ET)
Jan 26, 2016 · 1:22 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 | Jan 22, 2016 | A | 762 | — | A | 8,510 | D | |
| Common StockF3 | Jan 22, 2016 | F | 249 | $90.73 | D | 8,261 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Payment of common shares that vested and settled pursuant to TSR-Based Performance Share Award originally granted by the Compensation Committee of the Company's Board of Directors on February 4, 2013 pursuant to the Company's 2011 Long Term Incentive Plan.
- F2The Company's Long Term Incentive Plan permits grantees to pay the federal income tax liability with shares, reducing shares issued under the TSR-Based Performance Share Award.
- F3The balance includes 1,603 shares in the Company's Thrift Plan and direct ownership of 6,658 shares.