SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Ourada Jeanette L

(Last) (First) (Middle)
6001 BOLLINGER CANYON ROAD

(Street)
SAN RAMON CA 94583

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/01/2015
3. Issuer Name and Ticker or Trading Symbol
CHEVRON CORP [ CVX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice Pres. and Comptroller
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 535 D
Common Stock 2,717(1) I by 401(k) plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (Right to Buy) (2) 03/28/2017 Common Stock 7,000 $74.08 D
Stock Appreciation Right (3) 03/26/2018 Common Stock 6,200 $84.96 D
Non-Qualified Stock Option (Right to Buy) (4) 03/25/2019 Common Stock 7,200 $69.7 D
Non-Qualified Stock Option (Right to Buy) (5) 01/27/2020 Common Stock 12,500 $73.7 D
Non-Qualified Stock Option (Right to Buy) (6) 01/26/2021 Common Stock 11,500 $94.64 D
Non-Qualified Stock Option (Right to Buy) (7) 01/25/2022 Common Stock 9,400 $107.73 D
Non-Qualified Stock Option (Right to Buy) (8) 01/30/2023 Common Stock 15,500 $116.45 D
Non-Qualified Stock Option (Right to Buy) (9) 01/29/2024 Common Stock 13,000 $116 D
Non-Qualified Stock Option (Right to Buy) (10) 01/28/2025 Common Stock 25,400 $103.71 D
Phantom Stock (11) (11) Common Stock 1,358 (12) D
Phantom Stock Units (13) (13) Common Stock 512 (13) I Excess Benefit Plan
Phantom Stock Units (14) (14) Common Stock 2,280 (14) D
Explanation of Responses:
1. This number represents the reporting person's shares of Chevron Corporation common stock under the Chevron Employee Savings Investment Plan, a 401(k) plan.
2. Option granted 3/28/2007. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.
3. Stock Appreciation Rights (SARs) granted 3/26/2008. Each SAR is a right to receive cash equal to the appreciation in the value of Chevron Corporation common stock from the grant date to the date the SAR is exercised. One-third of the SARs vested on each of the first, second and third anniversaries of the date of grant.
4. Option granted 3/25/2009. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.
5. Option granted 1/27/2010. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.
6. Option granted 1/26/2011. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.
7. Option granted 1/25/2012. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.
8. Option granted 1/30/2013. One-third of the shares subject to the option vested on each of the first and second anniversaries of the date of grant. The balance of the shares vests on the third anniversary of the date of grant.
9. Option granted 1/29/2014. One-third of the shares subject to the option vested on the first anniversary of the date of grant. The balance of the shares vests each of the second and third anniversaries of the date of grant.
10. Option granted 1/28/2015. One-third of the shares subject to the option vest on each of the first, second and third anniversaries of the date of grant.
11. The shares of phantom stock issued under the Chevron Deferred Compensation Plan for Management Employees II become payable in common stock upon the reporting person's termination of service.
12. 1-for-1.
13. Each phantom stock unit is the economic equivalent of one share of Chevron Corporation common stock. The phantom stock units, which are issued under the Chevron ESIP-RP, are payable in cash upon the reporting person's retirement or other termination of service.
14. Phantom stock units granted under the Chevron Corporation Long-Term Incentive Plan. Each 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 January 28, 2018.
Christopher A. Butner on behalf of Jeanette L. Ourada 04/08/2015
** 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 5 (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.