0000075362-17-000006.txt : 20170105 0000075362-17-000006.hdr.sgml : 20170105 20170105190550 ACCESSION NUMBER: 0000075362-17-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PACCAR INC CENTRAL INDEX KEY: 0000075362 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 910351110 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PACCAR BUILDING STREET 2: 777 106TH AVENUE NE CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425 468 7383 MAIL ADDRESS: STREET 1: PACCAR BUILDING STREET 2: 777 106TH AVENUE NE CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: PACIFIC CAR & FOUNDRY CO DATE OF NAME CHANGE: 19720707 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Luiz Kaufmann CENTRAL INDEX KEY: 0001552180 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14817 FILM NUMBER: 17512446 BUSINESS ADDRESS: STREET 1: 777 106TH AVE NE CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425 468 7525 MAIL ADDRESS: STREET 1: 777 106TH AVE NE CITY: BELLEVUE STATE: WA ZIP: 98004 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-01-03 0000075362 PACCAR INC PCAR 0001552180 Luiz Kaufmann 777 106TH AVENUE NE BELLEVUE WA 98004 1 0 0 0 COMMON STOCK 5000 I Villamil Group Inc STOCK UNITS (RSDCP) 2017-01-03 4 A 0 1991 65.32 A COMMON STOCK 1991 12632.6388 D STOCK UNITS 2017-01-03 4 J 0 382.7312 65.32 A COMMON STOCK 382.7312 10871.4818 D Shares held by the company Villamil Group Inc which is 100% controlled by the Reporting Person. Restricted stock units held in deferred phantom stock account under PACCAR Restricted Stock and Deferred Compensation Plan for Non-Employee Directors (RSDCP) convertible to PACCAR common stock on a 1-for-1 basis upon satisfaction of all applicable vesting conditions. Stock units held in deferred phantom stock account under RSDCP convertible to PACCAR common stock on a 1 - for - 1 basis upon termination of the Reporting Person's status as a non-employee director. Cash compensation deferred into phantom stock account under RSDCP. Luiz Kaufmann by Irene E. Song POA 2017-01-05