SEC Form 4/A · accession 0001245156-16-000074
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Tracy Dawn Jackson
Officer — VP and Controller
Period of report
Jan 28, 2016
Accepted (ET)
Feb 1, 2016 · 3:57 pm 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Stock Unit AwardF5,F3,F4,F1,F2 | — | Jan 28, 2016 | A | 1,931 | A | — | — | Common Stock | 1,931 | 5,933 | D |
Explanation of responses
- F1Each market stock unit award represents a contingent right to receive one share of TSO common stock.
- F2The market stock unit award will vest on January 28, 2019 and will be settled in stock between 50% and 200% of target payout levels. .
- F3Award granted by the Compensation Committee of the Board of Directors.
- F4Balance includes multiple grants with various vesting dates.
- F5Amendment filed to correct the title of the reporting person.