0001376139-18-000080.txt : 20181218
0001376139-18-000080.hdr.sgml : 20181218
20181218172747
ACCESSION NUMBER: 0001376139-18-000080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181214
FILED AS OF DATE: 20181218
DATE AS OF CHANGE: 20181218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jackson Tracy Dawn
CENTRAL INDEX KEY: 0001512565
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33492
FILM NUMBER: 181241424
MAIL ADDRESS:
STREET 1: 19100 RIDGEWOOD PARKWAY
CITY: SAN ANTONIO
STATE: TX
ZIP: 78259
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CVR ENERGY INC
CENTRAL INDEX KEY: 0001376139
STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2277 PLAZA DRIVE
STREET 2: SUITE 500
CITY: SUGAR LAND
STATE: TX
ZIP: 77479
BUSINESS PHONE: (281) 207-7711
MAIL ADDRESS:
STREET 1: 2277 PLAZA DRIVE
STREET 2: SUITE 500
CITY: SUGAR LAND
STATE: TX
ZIP: 77479
4
1
wf-form4_154517204984277.xml
FORM 4
X0306
4
2018-12-14
0
0001376139
CVR ENERGY INC
CVI
0001512565
Jackson Tracy Dawn
2277 PLAZA DRIVE, SUITE 500
SUGAR LAND
TX
77479
0
1
0
0
EVP and CFO
Incentive Units
2018-12-14
4
A
0
13779
0
A
Common Stock
13779.0
13779
D
The Incentive Units were awarded to the reporting person by CVR Energy, Inc. as compensation for services as an officer on December 14, 2018. These Incentive Units vest ratably in three annual installments beginning in December of each year following the grant date, subject to the terms of the award agreement.
Each Incentive Unit reported herein represents the right to receive upon vesting, a cash payment equal to the average closing price of the common stock of CVR Energy, Inc. for the 10 trading days preceding the vesting date. The Incentive Units expire immediately following their vesting.
/s/ Tracy D. Jackson
2018-12-18