0001225208-21-013593.txt : 20211104 0001225208-21-013593.hdr.sgml : 20211104 20211104125524 ACCESSION NUMBER: 0001225208-21-013593 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211103 FILED AS OF DATE: 20211104 DATE AS OF CHANGE: 20211104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PIGOTT MARK C CENTRAL INDEX KEY: 0001191930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14817 FILM NUMBER: 211379129 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 7525 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 4 1 doc4.xml X0306 4 2021-11-03 0000075362 PACCAR INC PCAR 0001191930 PIGOTT MARK C 777 - 106TH AVE. N.E. BELLEVUE WA 98004 1 1 Executive Chairman Common Stock 2021-11-03 4 M 0 134084.0000 43.2400 A 3155021.0000 D Common Stock 97445.8090 I By PACCAR Savings Investment Plan (SIP) Common Stock 283280.0000 I By wife and children Stock Option 43.2400 2021-11-03 4 M 0 134084.0000 D 2015-01-01 2022-02-02 Common Stock 134084.0000 0.0000 D Stock Option 47.8100 2016-01-01 2023-02-06 Common Stock 108714.0000 108714.0000 D Stock Option 59.1500 2017-01-01 2024-02-07 Common Stock 85618.0000 85618.0000 D Stock Units (DCP) Common Stock 38444.2230 38444.2230 D Stock Units (DICP) Common Stock 125749.4250 125749.4250 D Stock Units (LTIP) Common Stock 50456.1900 50456.1900 D Balance includes shares awarded under PACCAR Savings Investment Plan (Company match) in exempt transaction(s) under Rule16b-3(c) and Rule 16b-3(d). Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP). Share units held in deferred phantom stock account under PACCAR Deferred Compensation Plan (DCP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. Share units held in deferred phantom stock account under PACCAR Deferred Incentive Compensation Plan (DICP) convertible to common stock on a one for one basis upon satisfaction of all applicable conditions. Restricted stock units held in deferred phantom stock account under Long Term Incentive Plan (LTIP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. /s/ Mark C. Pigott 2021-11-04