SEC Form 4 · accession 0001543134-15-000028
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jim W Nokes
Director
Period of report
Mar 31, 2015
Accepted (ET)
Apr 2, 2015 · 3:19 pm EDT
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 | — | Mar 31, 2015 | A | 21 | A | — | — | Common Stock | 21 | 4,292 | D |
| Phantom StockF6,F4,F1,F5 | — | Mar 31, 2015 | D | 3,561 | D | Mar 31, 2015 | — | Common Stock | 3,561 | 731 | D |
Explanation of responses
- F1Security deemed to converts 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.
- F5March 31, 2015 In-Service Distribution
- F6Previously granted Phantom stock awards which were part of the compensation program for non-employee directors along with related dividend equivalents.