SEC Form 3 · accession 0001671974-16-000048
ANDEAVOR · ANDV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Blane W. Peery
Officer — Vice President and Controller
Period of report
Nov 16, 2016
Accepted (ET)
Nov 28, 2016 · 7:03 pm EST
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 | holding | — | — | — | 130 | I | (1) | |
| Common Stock | holding | — | — | — | 4,578 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Stock UnitsF4,F2 | — | holding | — | — | — | — | — | Common Stock | 1,883 | — | D |
| Market Stock UnitsF4,F3 | — | holding | — | — | — | — | — | Common Stock | 1,655 | — | D |
Explanation of responses
- F1Held as 73.623 units in the Tesoro Stock Fund, which equated to 130.2614 shares of common stock as of the date hereof.
- F2The market stock unit award was granted by the Compensation Committee of the Board of Directors on February 10, 2015 and will vest on February 10, 2018 and will be settled in stock between 50% and 200% of target payout levels.
- F3The market stock unit award was granted by the Compensation Committee of the Board of Directors on January 28, 2016 and will vest on January 28, 2019 and will be settled in stock between 50% and 200% of target payout levels.
- F4Each market stock unit award represents a right to receive one share of Tesoro common stock at target payout levels.