SEC Form 4 · accession 0001543134-16-000075
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tracy Dawn Jackson
Officer — VP, Controller
Period of report
Apr 3, 2016
Accepted (ET)
Apr 5, 2016 · 5:11 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,F3 | Apr 3, 2016 | A | 558 | — | A | 10,866 | D | |
| Common StockF2,F3 | Apr 3, 2016 | F | 153 | — | D | 10,713 | 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 ROCE-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 the ROCE-Based Performance Share Award.
- F3Balance includes thrift account and direct stock ownership.