0001127602-17-024177.txt : 20170726 0001127602-17-024177.hdr.sgml : 20170726 20170726174417 ACCESSION NUMBER: 0001127602-17-024177 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170724 FILED AS OF DATE: 20170726 DATE AS OF CHANGE: 20170726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POTTRUCK DAVID S CENTRAL INDEX KEY: 0001185987 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06217 FILM NUMBER: 17983865 MAIL ADDRESS: STREET 1: 120 KEARNY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEL CORP CENTRAL INDEX KEY: 0000050863 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 941672743 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2200 MISSION COLLEGE BLVD STREET 2: RNB-4-151 CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 4087658080 MAIL ADDRESS: STREET 1: 2200 MISSION COLLEGE BLVD STREET 2: RNB-4-151 CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-07-24 0000050863 INTEL CORP INTC 0001185987 POTTRUCK DAVID S C/O RED EAGLE VENTURES, INC. 201 SPEAR STREET, SUITE 1150 SAN FRANCISCO CA 94105 1 Common Stock 2017-07-24 4 M 0 1067 0 A 100080 D Common Stock 2017-07-24 4 M 0 3922 0 A 104002 D Common Stock 8400 I By Annuity Trust (1) for Brother Common Stock 5000 I By Annuity Trust (2) for Brother Common Stock 800 I By Daughter Restricted Stock Units 0 2017-07-24 4 M 0 1067 0 D 2015-07-24 Common Stock 1067 0 D Performance-based Restricted Stock Units 0 2017-07-24 4 M 0 1815 0 D 2017-07-24 Common Stock 1815 0 D Shares acquired on the vesting of restricted stock units. Each restricted stock unit represents the right to receive, following vesting, one share of Intel Corporation common stock. Unless earlier forfeited under the terms of the RSU, 33 1/3% of the awards vest and convert into common stock on each anniversary of the grant date, unless that date falls on a non-business date, in which case the next business date shall apply. Each performance-based Restricted Stock Unit (RSU) represents the right to receive, following vesting, up to 200% of one share of Intel common stock, together with dividend equivalent shares on the vested number of shares. The resulting number of shares of Intel common stock acquired upon vesting of the performance-based RSUs is contingent upon the achievement of pre-established performance metrics, as approved by the Company's Compensation Committee, over a three-year performance period beginning on January 23, 2014 and ending on January 23, 2017, unless that date falls on a date that the NASDAQ Stock Market is closed, in which case the next business date that the NASDAQ Stock Market is open shall apply. Unless earlier forfeited under the terms of the performance-based RSU, each performance-based RSU vests and converts into no more than 200% of one share of Intel common stock three years after the grant date (together with dividend equivalent shares thereon), unless that date falls on a non-business date, in which case the next business date shall apply. Due to a limitation in the filing software, the total number of shares of Common Stock received was 3,922, as reported above in Table I. The conversion rate of the Performance-based Restricted Stock was 200.000%. Upon conversion of the RSUs, the Reporting Person received an additional 1,815 shares of Common Stock. Upon conversion of $10,781.10 in dividend equivalents, the Reporting person received an additional 292 shares of Common Stock. /s/ Brian Petirs, attorney-in-fact 2017-07-26