SEC Form 4 · accession 0001671974-16-000014
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert W Goldman
Director
Period of report
May 9, 2016
Accepted (ET)
May 11, 2016 · 6:03 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 Stock | May 9, 2016 | M | 6,000 | $33.55 | A | 36,800 | D | |
| Common StockF1 | May 9, 2016 | S | 2,670 | $75.563 | D | 34,130 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2,F3 | $33.55 | May 9, 2016 | M | 6,000 | D | Nov 15, 2006 | May 15, 2016 | Common Stock | 6,000 | 9,000 | D |
Explanation of responses
- F1The shares were sold in multiple transactions at prices ranging from $75.54 to $75.643, inclusive. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transactions reported herein where effected.
- F2Stock option originally granted by the Board of Directors as part of director compensation program.
- F3Balance includes multiple options with varying vesting and experiation dates and exercise prices.