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