SEC Form 4 · accession 0001671974-16-000012
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan Tomasky
Director
Period of report
May 9, 2016
Accepted (ET)
May 11, 2016 · 11:36 am 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 | May 9, 2016 | M | 1,689 | — | A | 5,600 | 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,F3 | — | May 9, 2016 | M | 1,689 | D | May 7, 2016 | — | Common Stock | 1,689 | 4,695 | D |
Explanation of responses
- F1Vesting and settlement of restricted stock units previously granted by the Board of Directors pursuant to the 2011 Long-Term Incentive Plan.
- F2Balance includes multiple awards of RSUs with varying vesting dates.
- F3Restricted stock units ("RSUs") previously awarded to each of the Company's non-employee directors. The RSUs vested one year from the date of award.