0001209191-17-004886.txt : 20170120 0001209191-17-004886.hdr.sgml : 20170120 20170120163839 ACCESSION NUMBER: 0001209191-17-004886 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170118 FILED AS OF DATE: 20170120 DATE AS OF CHANGE: 20170120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Western Refining, Inc. CENTRAL INDEX KEY: 0001339048 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 203472415 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6500 TROWBRIDGE DRIVE CITY: EL PASO STATE: TX ZIP: 79905 BUSINESS PHONE: (915) 775-3488 MAIL ADDRESS: STREET 1: 6500 TROWBRIDGE DRIVE CITY: EL PASO STATE: TX ZIP: 79905 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Karen Berriman CENTRAL INDEX KEY: 0001358598 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32721 FILM NUMBER: 17538910 MAIL ADDRESS: STREET 1: 123 WEST MILLS AVENUE STREET 2: SUITE 200 CITY: EL PASO STATE: TX ZIP: 79901 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-18 0 0001339048 Western Refining, Inc. WNR 0001358598 Davis Karen Berriman C/O WESTERN REFINING, INC. 212 N. CLARK ST. EL PASO TX 79905 0 1 0 0 EVP and CFO Restricted Share Units 2017-01-18 4 A 0 11465 0.00 A Common Stock 11465 11465 D Phantom Stock Common Stock 14709 14709 D Each restricted share unit ("RSU") represents a contingent right to receive one share of WNR common stock or, at the election of the Compensation Committee of WNR's Board of Directors (the "Board"), the cash value thereof. The RSUs were issued as compensation for services as an officer. 11,465 RSUs were awarded pursuant to an RSU Award Agreement (the "2017 RSU Award"). These RSUs were awarded to the reporting person as compensation for services as an officer. The 2017 RSU Award vests ratably on January 17, 2018, January 16, 2019, and January 15, 2020. Shares of WNR common stock or, at the election of the Compensation Committee of the Board, the cash value thereof, will be delivered to the reporting person on or promptly following the vesting date applicable thereto, but not later than December 31 of the year in which such vesting date occurs. Each share of phantom stock represents a contingent right to receive one share of WNR common stock or, at the election of the Compensation Committee of the Board, the cash value thereof. These shares of phantom stock were issued as compensation for services as an officer. The phantom stock award granted to the reporting person on June 23, 2016 (the 2016a Phantom Stock Award") vests on January 17, 2018. The phantom stock award granted to the reporting person on June 23, 2016 (the "2016b Phantom Stock Award") vests ratably on January 17, 2018, and January 16, 2019. Shares of WNR common stock or, at the election of the Compensation Committee of the Board, the cash value thereof, will be delivered to the reporting person on or promptly following the vesting date applicable thereto, but not later than 70 days following the date on which the shares of phantom stock become vested. These derivative securities include (a) 5,325 phantom stock shares that remain outstanding pursuant to the 2016a Phantom Stock Award and (b) 9,384 phantom stock shares that remain outstanding pursuant to the 2016b Phantom Stock Award. /s/ Karen B. Davis 2017-01-20