0000050104-17-000233.txt : 20171114 0000050104-17-000233.hdr.sgml : 20171114 20171114181940 ACCESSION NUMBER: 0000050104-17-000233 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171111 FILED AS OF DATE: 20171114 DATE AS OF CHANGE: 20171114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHUMANN WILLIAM H CENTRAL INDEX KEY: 0001051334 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03473 FILM NUMBER: 171203373 MAIL ADDRESS: STREET 1: 200 E RANDOLPH DRIVE CITY: CHICAGO STATE: IL ZIP: 60601 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_151070156748738.xml FORM 4 X0306 4 2017-11-11 0 0000050104 ANDEAVOR ANDV 0001051334 SCHUMANN WILLIAM H 900 N. GREEN BAY LAKE FOREST IL 60045 1 0 0 0 Common Stock 2017-11-11 4 M 0 889 A 2917 D Restricted Stock Units 2017-11-11 4 M 0 889 0 D Common Stock 889.0 0 D Vesting and settlement of restricted stock units previously granted under the Amended and Restated Andeavor 2011 Long-Term Incentive Plan. The restricted stock units were granted on November 11, 2016 and vested 100% on the first anniversary of the grant date. /s/ Elisa D. Watts, Attorney-in-Fact for William H. Schumann 2017-11-14