FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Alon USA Energy, Inc. [ ALJ ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/11/2011 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, par value $0.01 per share | 05/04/2011 | S | 263,625 | D | $11.38 | 2,125,506 | D | |||
Common Stock, par value $0.01 per share | 05/04/2011 | S | 73,641 | D | $13.58 | 2,051,865 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option (Right to Buy) | $0(1)(2) | 07/01/2011(3) | 07/01/2011(3) | Common Stock, par value $0.01 per share | 3,675,539 | 3,675,539(4) | D |
Explanation of Responses: |
1. The option described herein (the "Option") is exercisable by the Reporting Person for no additional cash consideration. The Option represents an option of the Reporting Person to acquire up to an additional 3,675,539 shares of the Issuer's common stock (the "Option Shares") from Alon Israel Oil Company, Ltd. ("Alon Israel"). |
2. The primary consideration with respect to the Reporting Person's acquisition of the Option Shares was provided by Africa-Israel Trade & Agencies Ltd ("Africa-Israel Trade") under a share exchange transaction between Africa-Israel Trade and Alon Israel Oil Company, Ltd. ("Alon Israel") on September 17, 2009 (the "Share Exchange Transaction") (the rights related to which were immediately assigned by Africa-Israel Trade to the Reporting Person), pursuant to which Africa-Israel Trade surrendered shares of Alon Israel to Alon Israel in exchange for 2,579,774 shares of the Issuer's common stock (the "Shares") and the Option (and, by extension, the right to acquire the Option Shares). As additional consideration for the Shares, the Option and the Option Shares, the Reporting Person (as assignee of Africa-Israel Trade) furthermore agreed to be bound by the terms and conditions of the agreement pursuant to which the Share Exchange Transaction was consummated. |
3. Such date represents the date on which the Option will be deemed exercised mandatorily, without any action required on the part of the Reporting Person. The Option may not be exercised before such date. |
4. This number of shares reflects the maximum number of Option Shares issuable to the Reporting Person upon exercise of the Option. The actual number of Option Shares to be issued upon exercise will be determined under a formula that is appended to the agreement for the Share Exchange Transaction. |
/s/ Jacques Zimmerman, Corporate Secretary, on behalf of Africa-Israel Investments Ltd. | 05/12/2011 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |