0001558785-17-000072.txt : 20171228 0001558785-17-000072.hdr.sgml : 20171228 20171228164547 ACCESSION NUMBER: 0001558785-17-000072 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171226 FILED AS OF DATE: 20171228 DATE AS OF CHANGE: 20171228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ball Susan M. CENTRAL INDEX KEY: 0001554999 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35781 FILM NUMBER: 171278828 MAIL ADDRESS: STREET 1: C/O CVR ENERGY, INC. STREET 2: 2277 PLAZA DRIVE, SUITE 500 CITY: SUGAR LAND STATE: TX ZIP: 77479 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CVR Refining, LP CENTRAL INDEX KEY: 0001558785 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 371702463 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) 207-3200 MAIL ADDRESS: STREET 1: 2277 PLAZA DRIVE STREET 2: SUITE 500 CITY: SUGAR LAND STATE: TX ZIP: 77479 4 1 wf-form4_151449753273966.xml FORM 4 X0306 4 2017-12-26 0 0001558785 CVR Refining, LP CVRR 0001554999 Ball Susan M. C/O CVR ENERGY, INC. 2277 PLAZA DRIVE, SUITE 500 SUGAR LAND TX 77479 0 1 0 0 CFO and Treasurer Common Units 2017-12-26 4 M 0 17474 13.77 A 25474 D Common Units 2017-12-26 4 D 0 17474 13.77 D 8000 D Incentive Units 2017-12-26 4 M 0 17474 13.77 D 2017-12-26 2017-12-26 Common Units 17474.0 0 D This transaction represents the cash settlement of vested Incentive Units awarded on December 26, 2014. The Incentive Units were awarded to the reporting person by CVR Energy, Inc., an affiliate of CVR Refining, LP and the parent of the general partner of CVR Refining, LP. /s/ Susan M. Ball 2017-12-28