SEC Form 4 · accession 0001127602-17-003191
CHEVRON CORP · CVX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R. Hewitt Pate
Officer — VP and General Counsel
Period of report
Jan 29, 2017
Accepted (ET)
Jan 31, 2017 · 6:03 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 StockF1 | Jan 29, 2017 | M | 9,460 | — | A | 9,460 | D | |
| Common Stock | Jan 29, 2017 | D | 9,460 | $113.79 | D | 0 | D | |
| Common StockF2 | holding | — | — | — | 3,487 | I | by 401(k) plan | |
| Common Stock | holding | — | — | — | 16,068 | I | By Pate Family Trust | |
| Common Stock | holding | — | — | — | 3,000 | I | by GRAT | |
| Common Stock | holding | — | — | — | 3,000 | I | by Spouse GRAT |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock UnitsF1 | $0.00 | Jan 29, 2017 | M | 9,460 | D | — | — | Common Stock | 9,460 | 0 | D |
Explanation of responses
- F1Each phantom stock unit is the economic equivalent of one share of Chevron Corporation common stock. The phantom stock units are payable in cash and vested on January 29, 2017.
- F2Between December 7, 2016 and January 29, 2017, the reporting person acquired 113 shares of Chevron common stock under the Chevron Employee Savings Investment Plan, a 401(k) plan.