0001225208-21-014745.txt : 20211209 0001225208-21-014745.hdr.sgml : 20211209 20211209181733 ACCESSION NUMBER: 0001225208-21-014745 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211207 FILED AS OF DATE: 20211209 DATE AS OF CHANGE: 20211209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOZIER C MICHAEL CENTRAL INDEX KEY: 0001670013 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14817 FILM NUMBER: 211483106 MAIL ADDRESS: STREET 1: 777 106TH AVE NE CITY: BELLEVUE STATE: WA ZIP: 98004 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 2021-12-07 0000075362 PACCAR INC PCAR 0001670013 DOZIER C MICHAEL 777 - 106TH AVE. N.E. BELLEVUE WA 98004 1 SENIOR VICE PRESIDENT Common Stock 2021-12-07 4 J 0 41.6850 87.6100 A 10860.2630 I By PACCAR Savings Investment Plan (SIP) Common Stock 6594.0000 D Stock Option 65.5600 2022-01-01 2029-02-06 Common Stock 11178.0000 11178.0000 D Stock Option 68.6900 2021-01-01 2028-02-07 Common Stock 8290.0000 8290.0000 D Stock Option 76.1800 2023-01-01 2030-02-04 Common Stock 12070.0000 12070.0000 D Stock Option 91.8900 2024-01-01 2031-02-02 Common Stock 13788.0000 13788.0000 D Stock Units (LTIP) Common Stock 5871.0000 5871.0000 D Dividend on PACCAR Savings Investment Plan (SIP) shares reinvested pursuant to SIP. Balance includes shares awarded under PACCAR Savings Investment Plan (Company match) in exempt transaction(s) under Rule16b-3(c) and Rule 16b-3(d). 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. Irene E. Song, by Power of Attorney 2021-12-09