0000050104-18-000011.txt : 20180103 0000050104-18-000011.hdr.sgml : 20180103 20180103172048 ACCESSION NUMBER: 0000050104-18-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180103 DATE AS OF CHANGE: 20180103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILEY MICHAEL E CENTRAL INDEX KEY: 0001158648 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03473 FILM NUMBER: 18506793 MAIL ADDRESS: STREET 1: 10930 KEMWOOD DRIVE CITY: HOUSTON STATE: TX ZIP: 77024 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_151501803467415.xml FORM 4 X0306 4 2017-12-31 0 0000050104 ANDEAVOR ANDV 0001158648 WILEY MICHAEL E 10930 KEMWOOD DRIVE HOUSTON TX 77024 1 0 0 0 Phantom Stock 2017-12-31 4 A 0 6.777 0 A Common Stock 6.777 1288.146 D Dividend equivalent rights accrued to previously granted phantom stock awards, which were awarded under the director's deferred compensation plan. The phantom stock will vest and be settled in shares of common stock (on a one-for-one basis) on the earliest of death, disability, or the vesting and payout of the underlying award to which the dividend equivalents relate. /s/ Elisa D. Watts, Attorney-in-Fact for Michael E. Wiley 2018-01-03