0001209191-22-004832.txt : 20220125 0001209191-22-004832.hdr.sgml : 20220125 20220125171508 ACCESSION NUMBER: 0001209191-22-004832 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220125 DATE AS OF CHANGE: 20220125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lubel Kimberly S CENTRAL INDEX KEY: 0001448219 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35764 FILM NUMBER: 22554743 MAIL ADDRESS: STREET 1: P.O. BOX 696000 CITY: SAN ANTONIO STATE: TX ZIP: 78269-6000 FORMER NAME: FORMER CONFORMED NAME: Bowers Kimberly S. DATE OF NAME CHANGE: 20081020 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PBF Energy Inc. CENTRAL INDEX KEY: 0001534504 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 SYLVAN WAY CITY: PARSIPPANY STATE: NJ ZIP: 07054 BUSINESS PHONE: 973-455-7500 MAIL ADDRESS: STREET 1: 1 SYLVAN WAY CITY: PARSIPPANY STATE: NJ ZIP: 07054 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 0 0001534504 PBF Energy Inc. PBF 0001448219 Lubel Kimberly S 1 SYLVAN WAY SECOND FLOOR PARSIPPANY NJ 07054 1 0 0 0 Class A Common Stock 2021-12-28 5 G 0 1600 0.00 D 31586 D /s/ Kimberly Lubel by Trecia Canty as Attorney-in-Fact 2022-01-25