10-12B 1 d250454d1012b.htm FORM 10 Form 10

As filed with the Securities and Exchange Commission on November 14, 2011

File No.            

 

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10

 

GENERAL FORM FOR REGISTRATION OF SECURITIES

Pursuant to Section 12(b) or (g) of The Securities Exchange Act of 1934

 

Phillips 66

(Exact name of registrant as specified in its charter)

 

Delaware  

45-3779385

(State or Other Jurisdiction

of Incorporation or Organization)

 

(I.R.S. Employer

Identification No.)

600 N. Dairy Ashford, Houston, Texas   77079
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s telephone number, including area code: 281-293-1000

Securities to be registered pursuant to Section 12(b) of the Act:

 

Title of each class

to be so registered

 

Name of each exchange on which

each class is to be registered

Common Stock, par value $0.01 per share   New York Stock Exchange

Securities to be registered pursuant to Section 12(g) of the Act:

None

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer [  ]  Accelerated filer [  ]  Non-accelerated filer [x]  Smaller reporting company [  ]

 

 

 

 


PHILLIPS 66

INFORMATION REQUIRED IN REGISTRATION STATEMENT

CROSS REFERENCE SHEET BETWEEN INFORMATION STATEMENT AND ITEMS OF FORM 10

We have filed our Information Statement as Exhibit 99.1 to this Form 10. For your convenience, we have provided below a cross-reference sheet identifying where the items required by Form 10 can be found in our Information Statement. None of the information contained in the Information Statement shall be incorporated by reference herein or deemed to be a part hereof unless such information is specifically incorporated by reference.

 

Item
No.

 

Item Caption

 

Location in Information Statement

1.       Business.   The following sections of our Information Statement are hereby incorporated by reference: “Summary,” “Risk Factors,” “Cautionary Statement Regarding Forward-Looking Statements,” “The Separation,” “Capitalization,” “Business and Properties,” “Certain Relationships and Related Transactions,” “Where You Can Find More Information” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
1A.   Risk Factors.   The following sections of our Information Statement are hereby incorporated by reference: “Summary,” “Risk Factors” and “Cautionary Statement Regarding Forward-Looking Statements.”
2.       Financial Information.   The following sections of our Information Statement are hereby incorporated by reference: “Summary,” “Selected Combined Financial Data of Phillips 66,” “Risk Factors,” “Capitalization,” “Unaudited Pro Forma Condensed Combined Financial Statements,” “Index to Financial Statements” and the statements referenced therein, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Quantitative and Qualitative Disclosures About Market Risk.”
3.       Properties.   The following section of our Information Statement is hereby incorporated by reference: “Business and Properties.”
4.       Security Ownership of Certain Beneficial Owners and Management.   The following section of our Information Statement is hereby incorporated by reference: “Stock Ownership.”
5.       Directors and Executive Officers.   The following section of our Information Statement is hereby incorporated by reference: “Management.”

 

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Item
No.

 

Item Caption

 

Location in Information Statement

6.       Executive Compensation.   The following sections of our Information Statement are hereby incorporated by reference: “Management,” “Executive Compensation,” “Compensation Discussion and Analysis” and “Certain Relationships and Related Transactions.”
7.       Certain Relationships and Related Transactions, and Director Independence.   The following sections of our Information Statement are hereby incorporated by reference: “Management,” “Certain Relationships and Related Transactions” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
8.       Legal Proceedings.   The following section of our Information Statement is hereby incorporated by reference: “Business and Properties—Legal Proceedings.”
9.       Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters.   The following sections of our Information Statement are hereby incorporated by reference: “Summary,” “The Separation,” “Dividend Policy,” “Capitalization” and “Description of Capital Stock.”
10.   Recent Sales of Unregistered Securities.   Not Applicable.
11.   Description of Registrant’s Securities to be Registered.   The following sections of our Information Statement are hereby incorporated by reference: “Dividend Policy” and “Description of Capital Stock.”
12.   Indemnification of Directors and Officers.   The following sections of our Information Statement are hereby incorporated by reference: “Description of Capital Stock—Limitation on Liability of Directors and Indemnification of Directors and Officers.”
13.   Financial Statements and Supplementary Data.   The following sections of our Information Statement are hereby incorporated by reference: “Index to Financial Statements” and the statements referenced therein.
14.   Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.   Not Applicable.
15.   Financial Statements and Exhibits.   The following sections of our Information Statement are hereby incorporated by reference: “Unaudited Pro Forma Condensed Combined Financial Statements” and “Index to Financial Statements” and the statements referenced therein.

 

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(a) List of Financial Statements and Schedules: The following financial statements are included in the Information Statement and filed as part of this Registration Statement on Form 10:

Unaudited Pro Forma Condensed Combined Financial Statements

Report of Independent Registered Public Accounting Firm

Combined Statement of Income for the years ended December 31, 2010, 2009 and 2008

Combined Balance Sheet as of December 31, 2010 and 2009

Combined Statement of Cash Flows for the years ended December 31, 2010, 2009 and 2008

Combined Statement of Changes in Net Investment for the years ended December 31, 2010, 2009 and 2008

Notes to Combined Financial Statements

Schedule II—Valuation and Qualifying Accounts (Combined)

Unaudited Combined Statement of Income for the nine months ended September 30, 2011 and 2010

Unaudited Combined Balance Sheet as of September 30, 2011 and December 31, 2010

Unaudited Combined Statement of Cash Flows for the nine months ended September 30, 2011 and 2010

Notes to Combined Financial Statements (unaudited)

 

(b) Exhibits. The following documents are filed as exhibits hereto:

 

    Exhibit Number   Exhibit Description

 

 

 

    2.1                                Form of Separation and Distribution Agreement between Phillips 66 and ConocoPhillips.*
    3.1   Form of Phillips 66 Certificate of Incorporation.*
    3.2   Form of Phillips 66 By-laws.*
  10.1   Form of Tax Sharing Agreement between Phillips 66 and ConocoPhillips.*
  10.2   Form of Transition Services Agreement between Phillips 66 and ConocoPhillips.*
  10.3   Form of Employee Matters Agreement between Phillips 66 and ConocoPhillips.*
  10.4   Form of Indemnification Agreement between Phillips 66 and ConocoPhillips.*
  10.5   Form of Intellectual Property Agreement between Phillips 66 and ConocoPhillips.*
  21   List of subsidiaries of Phillips 66.*
  99.1   Preliminary Information Statement of Phillips 66, subject to completion, dated November 14, 2011.

 

 

*To be filed by amendment.

 

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SIGNATURES

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.

Phillips 66

 

Date: November 14, 2011

 

By:

 

/s/ Greg C. Garland

    Greg C. Garland
   

President

 

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EXHIBIT INDEX

 

Exhibit
Number
   Exhibit Description

 

  

 

  2.1        Form of Separation and Distribution Agreement between Phillips 66 and ConocoPhillips.*
  3.1    Form of Phillips 66 Certificate of Incorporation.*
  3.2    Form of Phillips 66 By-laws.*
10.1    Form of Tax Sharing Agreement between Phillips 66 and ConocoPhillips.*
10.2    Form of Transition Services Agreement between Phillips 66 and ConocoPhillips.*
10.3    Form of Employee Matters Agreement between Phillips 66 and ConocoPhillips.*
10.4    Form of Indemnification Agreement between Phillips 66 and ConocoPhillips.*
10.5    Form of Intellectual Property Agreement between Phillips 66 and ConocoPhillips.*
21    List of subsidiaries of Phillips 66.*
99.1    Preliminary Information Statement of Phillips 66, subject to completion, dated November 14, 2011.

 

 

*To be filed by amendment.

 

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