0001683168-17-003413.txt : 20171228
0001683168-17-003413.hdr.sgml : 20171228
20171228163011
ACCESSION NUMBER: 0001683168-17-003413
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171222
FILED AS OF DATE: 20171228
DATE AS OF CHANGE: 20171228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jacobson Paul A
CENTRAL INDEX KEY: 0001543655
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-05424
FILM NUMBER: 171278699
MAIL ADDRESS:
STREET 1: C/O DELTA AIR LINES, INC., DEPT. 981
STREET 2: P.O. BOX 20574
CITY: ATLANTA
STATE: GA
ZIP: 30320
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DELTA AIR LINES INC /DE/
CENTRAL INDEX KEY: 0000027904
STANDARD INDUSTRIAL CLASSIFICATION: AIR TRANSPORTATION, SCHEDULED [4512]
IRS NUMBER: 580218548
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: HARTSFIELD-JACKSON ATLANTA INTL AIRPORT
STREET 2: 1030 DELTA BOULEVARD
CITY: ATLANTA
STATE: GA
ZIP: 30354-1989
BUSINESS PHONE: 4047152600
MAIL ADDRESS:
STREET 1: P.O. BOX 20706
STREET 2: DEPT 981
CITY: ATLANTA
STATE: GA
ZIP: 30320-6001
FORMER COMPANY:
FORMER CONFORMED NAME: DELTA AIR CORP
DATE OF NAME CHANGE: 19660908
4
1
jacobson_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-12-22
0
0000027904
DELTA AIR LINES INC /DE/
DAL
0001543655
Jacobson Paul A
C/O DELTA AIR LINES, INC., DEPT. 981
P.O. BOX 20574
ATLANTA,
GA
30320
0
1
0
0
EVP & CFO
Common Stock
2017-12-22
5
G
0
E
9000
D
356970
D
The shares were gifted to the Jacobson Family Foundation Trust.
/s/ Jan M. Davidson as attorney-in-fact for Paul A. Jacobson
2017-12-28