0001376139-20-000081.txt : 20201216
0001376139-20-000081.hdr.sgml : 20201216
20201216165329
ACCESSION NUMBER: 0001376139-20-000081
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201214
FILED AS OF DATE: 20201216
DATE AS OF CHANGE: 20201216
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: 201393069
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_160815559290570.xml
FORM 4
X0306
4
2020-12-14
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
Common Stock
2020-12-14
4
M
0
4600
0
A
4600
D
Common Stock
2020-12-14
4
D
0
4600
15.55
D
0
D
Incentive Units
2020-12-14
4
M
0
4600
0
D
Common Stock
4600.0
4599
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 and conditions 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 a share of CVR Energy, Inc. common stock for the 10 trading days preceding the vest date.
This price represents the average closing price of a share of CVR Energy, Inc. common stock for the 10 trading days preceding the vest date.
The Incentive Units expire immediately upon vest.
/s/ Tracy D. Jackson
2020-12-16