0001127602-16-067757.txt : 20161118 0001127602-16-067757.hdr.sgml : 20161118 20161118163438 ACCESSION NUMBER: 0001127602-16-067757 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20161116 FILED AS OF DATE: 20161118 DATE AS OF CHANGE: 20161118 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHEVRON CORP CENTRAL INDEX KEY: 0000093410 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 940890210 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6001 BOLLINGER CANYON ROAD CITY: SAN RAMON STATE: CA ZIP: 94583 BUSINESS PHONE: 925-842-1000 MAIL ADDRESS: STREET 1: 6001 BOLLINGER CANYON ROAD CITY: SAN RAMON STATE: CA ZIP: 94583 FORMER COMPANY: FORMER CONFORMED NAME: CHEVRONTEXACO CORP DATE OF NAME CHANGE: 20011009 FORMER COMPANY: FORMER CONFORMED NAME: CHEVRON CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: STANDARD OIL CO OF CALIFORNIA DATE OF NAME CHANGE: 19840705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pate R. Hewitt CENTRAL INDEX KEY: 0001469419 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-00368 FILM NUMBER: 162008143 MAIL ADDRESS: STREET 1: 6001 BOLLINGER CANYON ROAD CITY: SAN RAMON STATE: CA ZIP: 94583 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-11-16 0000093410 CHEVRON CORP CVX 0001469419 Pate R. Hewitt 6001 BOLLINGER CANYON ROAD SAN RAMON CA 94583 1 VP and General Counsel Common Stock 2016-11-16 4 M 0 25500 73.70 A 25500 D Common Stock 2016-11-16 4 S 0 25500 108.2043 D 0 D Common Stock 3374 I by 401(k) plan Common Stock 18268 I By Pate Family Trust Common Stock 1900 I by GRAT Common Stock 1900 I by Spouse GRAT Non-Qualified Stock Option (Right to Buy) 73.70 2016-11-16 4 M 0 25500 0 D 2020-01-27 Common Stock 25500 76500 D Between August 22, 2015 and November 16, 2016, the reporting person acquired 618 shares of Chevron Common Stock under the Chevron Employee Savings Investment Plan, a 401(k) plan. These shares were previously reported as indirectly owned by the Pate Revocable Family Trust but were later contributed to two grantor retained annuity trusts (GRATs). Option granted 1/27/2010. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant. Christine L. Cavallo, Attorney-in Fact for R. Hewitt Pate 2016-11-18 EX-24 2 doc1.txt POWER OF ATTORNEY (PUBLIC): 2016 POA RHP POWER OF ATTORNEY The undersigned hereby constitutes and appoints each of MARY A. FRANCIS, CHRISTOPHER A. BUTNER, CHRISTINE L. CAVALLO, and KARI H. ENDRIES, signing singly, the undersigned's true and lawful attorney-in-fact to: 1. Execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Chevron Corporation, a Delaware corporation (the "Corporation"), a Form ID and Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the rules thereunder; 2. Do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form ID and Form 3, 4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and 3. Take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Corporation assuming, any of the undersigned's responsibilities to comply with Section 16 of the Exchange Act. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file a Form ID and Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Corporation, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has hereunto set his or her hand this 18th day of November, 2016. /s/ R. HEWITT PATE