SEC Form 4 · accession 0000899243-17-009955
PAR PACIFIC HOLDINGS, INC. · PARR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy Clossey
Director
Period of report
Apr 5, 2017
Accepted (ET)
Apr 11, 2017 · 4:31 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000821483
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stockF1 | Apr 5, 2017 | A | 319 | $16.33 | A | 38,683 | D | |
| Common stockF2 | Apr 5, 2017 | A | 957 | $16.33 | A | 39,640 | D | |
| Common stockF3,F4 | Apr 5, 2017 | M | 415 | $0.00 | A | 40,055 | 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 unitsF3,F4 | — | Apr 5, 2017 | M | 415 | D | — | — | Common stock | 415 | 416 | D |
Explanation of responses
- F1These shares were issued to the reporting person in lieu of retainer fees of $5,208
- F2Represents a grant of shares of restricted stock received by the reporting person. The shares will vest in full on April 5, 2018.
- F3Each restricted stock unit represented a contingent right to receive one share of common stock.
- F4On April 5, 2017, the restricted stock units vested in full with one half of the vested shares delivered to the reporting person on April 5, 2017 and one half of the vested share to be delivered to the reporting person on February 1, 2018.