0000075362-17-000012.txt : 20170110 0000075362-17-000012.hdr.sgml : 20170110 20170110180556 ACCESSION NUMBER: 0000075362-17-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170106 FILED AS OF DATE: 20170110 DATE AS OF CHANGE: 20170110 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: 17521577 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 2017-01-06 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) 2017-01-06 4 J 0 96.9184 65.88 A COMMON STOCK 96.9184 12729.5572 D STOCK UNITS 2017-01-06 4 J 0 95.526 65.88 A COMMON STOCK 95.526 10967.0078 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. Dividend on restricted stock units under RSDCP reinvested in additional restricted stock units pursuant to RSDCP. 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. Dividend on stock units held in phantom stock account under RSDCP reinvested in additional stock units pursuant to RSDCP. Luiz Kaufmann by Irene E. Song POA 2017-01-10