0001209191-21-071448.txt : 20211229 0001209191-21-071448.hdr.sgml : 20211229 20211229115355 ACCESSION NUMBER: 0001209191-21-071448 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211228 FILED AS OF DATE: 20211229 DATE AS OF CHANGE: 20211229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Seedorf Herman L CENTRAL INDEX KEY: 0001602973 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35764 FILM NUMBER: 211527149 MAIL ADDRESS: STREET 1: C/O PBF ENERGY INC. STREET 2: 1 SYLVAN WAY, SECOND FLOOR CITY: PARSIPPANY STATE: NJ ZIP: 07054 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-28 0 0001534504 PBF Energy Inc. PBF 0001602973 Seedorf Herman L ONE SYLVAN WAY, SECOND FLOOR PARSIPPANY NJ 07054 0 1 0 0 Senior Vice President Class A Common Stock 2021-12-28 4 M 0 66202 0.00 A 98544 D Class B Common Stock 0 D Series A Unit of PBF Energy Company LLC 2021-12-28 4 M 0 66202 D Class A Common Stock 66202 0 D The reporting person exchanged all of his Series A Units of PBF Energy Company LLC for Class A Common Stock and as a result does not hold any Class B Common Stock. Pursuant to an exchange agreement the Series A Units of PBF Energy Company LLC are exchangeable at any time for shares of Class A Common Stock of PBF Energy Inc. on a one-for-one basis, subject to equitable adjustments for stock splits, stock dividends and reclassifications. As the reporting person exchanges the Series A Units of PBF Energy Company LLC for shares of Class A Common Stock of PBF Energy Inc. pursuant to the exchange agreement, the voting power afforded to the reporting person by her share of Class B Common Stock of PBF Energy Inc. will be automatically and correspondingly reduced. /s/ Herman Seedorf by Trecia Canty as Attorney-in-Fact 2021-12-29