SEC Form 4 · accession 0001127602-16-069531

CHEVRON CORP · CVX

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — VP and General Counsel

Period of report

Dec 6, 2016

Accepted (ET)

Dec 8, 2016 · 8:28 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000093410

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Dec 6, 2016	M	8,074	—	A	8,074	D
Common Stock	Dec 6, 2016	D	8,074	$112.76	D	0	D
Common Stock	holding	—	—		—	3,374	I	by 401(k) plan
Common Stock	holding	—	—		—	16,068	I	By Pate Family Trust
Common Stock^F2	holding	—	—		—	3,000	I	by GRAT
Common Stock^F2	holding	—	—		—	3,000	I	by Spouse GRAT

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Phantom Stock Units^F3,F1,F4	$0.00	Dec 6, 2016	M	8,074	D	—	—	Common Stock	8,074	10,765	D

F1Each phantom stock unit is the economic equivalent of one share of Chevron Corporation common stock. The phantom stock units are payable in cash upon vesting. On December 6, 2016, thirty percent of the reporting person's original grant (plus the accrued dividend equivalents) vested and were settled in cash. The remaining forty percent of the original grant (plus accrued dividend equivalents) will vest on December 6, 2018.
F2This number includes 1,100 shares previously reported as indirectly owned by the Pate Revocable Family Trust that were later contributed to a grantor retained annuity trust.
F3This number includes dividend equivalent accruals that vested on December 6, 2016 (1,324 shares).
F4This number includes dividend equivalent accruals (1,765 shares).