0000050104-17-000221.txt : 20171012
0000050104-17-000221.hdr.sgml : 20171012
20171012191004
ACCESSION NUMBER: 0000050104-17-000221
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171010
FILED AS OF DATE: 20171012
DATE AS OF CHANGE: 20171012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WARNER CYNTHIA J
CENTRAL INDEX KEY: 0001570212
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-03473
FILM NUMBER: 171135322
MAIL ADDRESS:
STREET 1: 1925 WEST FIELD COURT
STREET 2: SUITE 200
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ANDEAVOR
CENTRAL INDEX KEY: 0000050104
STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911]
IRS NUMBER: 950862768
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 19100 RIDGEWOOD PKWY
CITY: SAN ANTONIO
STATE: TX
ZIP: 78259-1828
BUSINESS PHONE: 210 626-6000
MAIL ADDRESS:
STREET 1: 19100 RIDGEWOOD PKWY
CITY: SAN ANTONIO
STATE: TX
ZIP: 78259-1828
FORMER COMPANY:
FORMER CONFORMED NAME: TESORO CORP /NEW/
DATE OF NAME CHANGE: 20041108
FORMER COMPANY:
FORMER CONFORMED NAME: TESORO PETROLEUM CORP /NEW/
DATE OF NAME CHANGE: 19920703
4
1
wf-form4_150784979107075.xml
FORM 4
X0306
4
2017-10-10
0
0000050104
ANDEAVOR
ANDV
0001570212
WARNER CYNTHIA J
19100 RIDGEWOOD PARKWAY
SAN ANTONIO
TX
78259
0
1
0
0
EVP, Operations
Common Stock
2017-10-10
4
M
0
17715
A
33945
D
Common Stock
2017-10-10
4
F
0
7432
106.33
D
26513
D
Market Stock Units
2017-10-10
4
M
0
10169
0
D
Common Stock
10169.0
0
D
Represents the vesting and settlement of a market stock unit award previously granted under the Amended and Restated Andeavor 2011 Long-Term Incentive Plan. The market stock units vested on the third anniversary of the grant date, were adjusted based upon stock price performance multiple of the Issuer, and were settled in shares of common stock upon certification of such stock price performance multiple by the Compensation Committee of the Issuer.
These shares of common stock were automatically withheld by the Issuer to satisfy tax withholding obligations associated with the vesting of the market stock unit award described in footnote 1.
/s/ Elisa D. Watts, Attorney-in-Fact for Cynthia J. Warner
2017-10-12