0000899243-16-031610.txt : 20161012 0000899243-16-031610.hdr.sgml : 20161012 20161012163025 ACCESSION NUMBER: 0000899243-16-031610 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161005 FILED AS OF DATE: 20161012 DATE AS OF CHANGE: 20161012 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAR PACIFIC HOLDINGS, INC. CENTRAL INDEX KEY: 0000821483 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 841060803 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 GESSNER ROAD, SUITE 875 CITY: HOUSTON STATE: TX ZIP: 77024 BUSINESS PHONE: (281) 899-4800 MAIL ADDRESS: STREET 1: 800 GESSNER ROAD, SUITE 875 CITY: HOUSTON STATE: TX ZIP: 77024 FORMER COMPANY: FORMER CONFORMED NAME: PAR PETROLEUM CORP/CO DATE OF NAME CHANGE: 20120907 FORMER COMPANY: FORMER CONFORMED NAME: DELTA PETROLEUM CORP/CO DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DODS WALTER A JR CENTRAL INDEX KEY: 0001206921 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36550 FILM NUMBER: 161933406 MAIL ADDRESS: STREET 1: 822 BISHOP ST. CITY: HONOLULU STATE: HI ZIP: 96813 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-05 0 0000821483 PAR PACIFIC HOLDINGS, INC. PARR 0001206921 DODS WALTER A JR C/O PAR PACIFIC HOLDINGS, INC. 800 GESSNER ROAD, SUITE 875 HOUSTON TX 77024 1 0 0 0 Restricted stock units 2016-10-05 4 A 0 1095 0.00 A Common stock 1095 1095 D Each restricted stock unit represents a contingent right to receive one share of common stock. The restricted stock units will vest in full on October 5, 2017. Vested shares will be delivered to the reporting person following termination of service. /s/ Walter A. Dods, Jr. 2016-10-11