0001683168-21-000297.txt : 20210128 0001683168-21-000297.hdr.sgml : 20210128 20210128160207 ACCESSION NUMBER: 0001683168-21-000297 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210125 FILED AS OF DATE: 20210128 DATE AS OF CHANGE: 20210128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BELLEMARE ALAIN CENTRAL INDEX KEY: 0001449365 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05424 FILM NUMBER: 21564922 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. 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 LINES INC /DE/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DELTA AIR CORP DATE OF NAME CHANGE: 19660908 4 1 ownership.xml X0306 4 2021-01-25 0 0000027904 DELTA AIR LINES, INC. DAL 0001449365 BELLEMARE ALAIN C/O DELTA AIR LINES, INC., DEPT. 981 P.O. BOX 20574 ATLANTA GA 30320 0 1 0 0 EVP & Pres. - International Common Stock 2021-01-25 4 A 0 77130 0 A 77130 D The shares represent a grant of restricted common stock to Mr. Bellemare, as approved by the Personnel & Compensation Committee of Delta's Board of Directors. Subject to the terms of the award, the restrictions on the shares will lapse in three equal installments on January 25, 2022, 2023 and 2024. This grant is exempt from Section 16(b) of the Securities Exchange Act of 1934 under Rule 16b-3(d). /s/ Stephanie W. Bignon as attorney-in-fact for Alain M. Bellemare 2021-01-28