-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IZkh8xbCJdwDBwuxx5c1Xli+jY2pbeAdYksepuAW6BJCL8qa3CTTnvHCAFEjI25X zpx7Ib3Guh4LIBpp8ev14w== 0001140361-10-007948.txt : 20100223 0001140361-10-007948.hdr.sgml : 20100223 20100223161729 ACCESSION NUMBER: 0001140361-10-007948 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100221 FILED AS OF DATE: 20100223 DATE AS OF CHANGE: 20100223 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Delek US Holdings, Inc. CENTRAL INDEX KEY: 0001351541 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 522319066 BUSINESS ADDRESS: BUSINESS PHONE: 615-771-6701 MAIL ADDRESS: STREET 1: 830 CRESCENT CENTRE DRIVE STREET 2: SUITE 300 CITY: FRANKLIN STATE: TN ZIP: 37067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Yemin Ezra Uzi CENTRAL INDEX KEY: 0001361091 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32868 FILM NUMBER: 10626166 MAIL ADDRESS: STREET 1: 830 CRESCENT CENTRE DRIVE, SUITE 300 CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc1.xml FORM 4 X0303 4 2010-02-21 0 0001351541 Delek US Holdings, Inc. DK 0001361091 Yemin Ezra Uzi 7102 COMMERCE WAY BRENTWOOD TN 37027 1 1 0 0 President / CEO Common Stock 2010-02-21 4 M 0 1319493 2.03 A 1324593 D Common Stock 2010-02-21 4 F 0 680584 7.50 D 644009 D Share Purchase Rights 2.03 2010-02-21 4 M 0 1319493 0 D 2009-04-30 2010-04-30 Common Stock 1319493 0 D 638,909 shares of Common Stock were issued to Mr. Yemin in connection with the net share settlement of 1,319,493 share purchase rights. 680,584 shares of Common Stock were withheld as a partial cashless exercise and to pay witholding taxes. /s/ Ezra Uzi Yemin 2010-02-23 -----END PRIVACY-ENHANCED MESSAGE-----