0001225208-21-007839.txt : 20210510 0001225208-21-007839.hdr.sgml : 20210510 20210510134036 ACCESSION NUMBER: 0001225208-21-007839 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210507 FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jordan Tyrone Michael CENTRAL INDEX KEY: 0001766331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04329 FILM NUMBER: 21906163 MAIL ADDRESS: STREET 1: 8501 NORTH SCOTTSDALE ROAD STREET 2: SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85253 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 2021-05-07 0000024491 COOPER TIRE & RUBBER CO CTB 0001766331 Jordan Tyrone Michael 701 LIMA AVENUE FINDLAY OH 45840 1 Phantom Stock 2021-05-07 4 A 0 2121.5210 58.9200 A Common Stock 2121.5210 2121.5210 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. /s/Jack Jay McCracken, Attorney-in-fact for Tyrone Michael Jordan 2021-05-10