0000050104-18-000056.txt : 20180221 0000050104-18-000056.hdr.sgml : 20180221 20180221181252 ACCESSION NUMBER: 0000050104-18-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180216 FILED AS OF DATE: 20180221 DATE AS OF CHANGE: 20180221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peery Blane W. CENTRAL INDEX KEY: 0001690708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03473 FILM NUMBER: 18629904 MAIL ADDRESS: STREET 1: 19100 RIDGEWOOD PARKWAY CITY: SAN ANTONIO STATE: TX ZIP: 78259 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_151925475858305.xml FORM 4 X0306 4 2018-02-16 0 0000050104 ANDEAVOR ANDV 0001690708 Peery Blane W. 19100 RIDGEWOOD PARKWAY SAN ANTONIO TX 78259 0 1 0 0 Vice President and Controller Common Stock 2018-02-16 4 F 0 412 96.15 D 3842.45 D These shares of common stock were automatically withheld by the Issuer to satisfy tax withholding obligations associated with the vesting of a previously reported restricted stock award. Includes (a) 190.45 shares of common stock held through the Andeavor 401(k) Plan (based upon a plan statement dated as of December 31, 2017), and (b) an additional 41 shares of common stock, which is the difference between the number of shares estimated for tax withholding (as reported on 2/15/18) in connection with the vesting of a performance share award and the number of shares actually withheld by the Issuer to satisfy such tax withholding obligation. The actual number of shares automatically withheld by the Issuer for taxes in connection with the vesting of the performance share award is 326 shares. /s/ Elisa D. Watts, Attorney-in-Fact for Blane W. Peery 2018-02-21