Filing Details
- Accession Number:
- 0001351541-17-000084
- Form Type:
- 4/A
- Zero Holdings:
- No
- Publication Time:
- 2017-03-20 19:20:11
- Reporting Period:
- 2017-03-07
- Filing Date:
- 2017-03-20
- Accepted Time:
- 2017-03-20 19:20:11
- Original Submission Date:
- 2017-03-07
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1351541 | Delek Us Holdings Inc. | DK | () | 4/A |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1292743 | Norman Donald Holmes | 7102 Commerce Way Brentwood TN 37027 | Executive Vice President | No | Yes | No | No |
Reported Non-Derivative Transactions
Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|---|---|---|---|---|---|
Common Stock | Acquisiton | 2017-03-07 | 10,000 | $10.65 | 40,748 | No | 4 | M | Direct | |
Common Stock | Disposition | 2017-03-07 | 4,262 | $24.99 | 36,486 | No | 4 | D | Direct | |
Common Stock | Disposition | 2017-03-07 | 1,680 | $24.99 | 34,806 | No | 4 | F | Direct | |
Common Stock | Disposition | 2017-03-07 | 4,058 | $24.83 | 30,748 | No | 4 | S | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | M | Direct | |
No | 4 | D | Direct | |
No | 4 | F | Direct | |
No | 4 | S | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Stock Appreciation Right | Disposition | 2017-03-07 | 10,000 | $0.00 | 10,000 | $10.65 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
4,125 | 2021-12-10 | No | 4 | M | Direct |
Footnotes
- This amendment is being filed to amend the Form 4 filed by the reporting person on March 7, 2017 (the "Original Form") to clarify that the reported 4,058 shares of Common Stock sold on March 7, 2017 were acquired upon exercise of a stock appreciation right on the same date and to correct the number of shares beneficially owned following such exercise in column 5 of Table I. The number of shares of Common Stock was also incorrectly reported in column 5 of Table I of the subsequent Form 4 filed by the reporting person on March 14, 2017.
- This amendment is being filed to also report the disposition of shares of Common Stock to Delek US Holdings, Inc. for payment of the exercise price in connection with the exercise of the stock appreciation right that was not previously reported in the Original Form 4.
- This amendment is being filed to also report the shares withheld to cover tax withholding obligations in connection with the exercise of the stock appreciation right that was not previously reported in the Original Form 4.
- The stock appreciation right vested with respect to 8,125 shares of Common Stock on each of December 10, 2012, December 10, 2013, December 10, 2014 and December 10, 2015.