0001225208-17-018285.txt : 20171206 0001225208-17-018285.hdr.sgml : 20171206 20171206125649 ACCESSION NUMBER: 0001225208-17-018285 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171205 FILED AS OF DATE: 20171206 DATE AS OF CHANGE: 20171206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHUEY JOHN H CENTRAL INDEX KEY: 0001046325 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04329 FILM NUMBER: 171241744 MAIL ADDRESS: STREET 1: COOPER TIRE & RUBBER COMPANY STREET 2: LIMA AND WESTERN AVENUES CITY: FINDLAY STATE: OH ZIP: 45840 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COOPER TIRE & RUBBER CO CENTRAL INDEX KEY: 0000024491 STANDARD INDUSTRIAL CLASSIFICATION: TIRES AND INNER TUBES [3011] IRS NUMBER: 344297750 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LIMA & WESTERN AVENUES CITY: FINDLAY STATE: OH ZIP: 45840 BUSINESS PHONE: 4194231321 4 1 doc4.xml X0306 4 2017-12-05 0000024491 COOPER TIRE & RUBBER CO CTB 0001046325 SHUEY JOHN H 701 LIMA AVENUE FINDLAY OH 45840 1 Phantom Stock 2017-12-05 4 I 0 12930.8620 36.2000 D Common Stock 12930.8620 3198.8676 D One-for-One The phantom stock units were accrued under the Cooper Tire & Rubber Company 2014 Incentive Compensation Plan and are to be settled in cash upon the reporting person's termination of service as a director, unless otherwise elected or transferred into an alternative investment account. Includes 91.804 dividend equivalents since reporting persons last report. /s/ Jack J. McCracken Attorney-in-Fact for John H. Shuey 2017-12-06