0001140361-13-024245.txt : 20130605 0001140361-13-024245.hdr.sgml : 20130605 20130605164650 ACCESSION NUMBER: 0001140361-13-024245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130603 FILED AS OF DATE: 20130605 DATE AS OF CHANGE: 20130605 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Delek US Holdings, Inc. CENTRAL INDEX KEY: 0001351541 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 522319066 FISCAL YEAR END: 1231 BUSINESS ADDRESS: BUSINESS PHONE: 615-771-6701 MAIL ADDRESS: STREET 1: 7102 COMMERCE WAY CITY: BRENTWOOD STATE: TN ZIP: 37027 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: 13894758 MAIL ADDRESS: STREET 1: 830 CRESCENT CENTRE DRIVE, SUITE 300 CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc1.xml FORM 4 X0306 4 2013-06-03 0 0001351541 Delek US Holdings, Inc. DK 0001361091 Yemin Ezra Uzi 7102 COMMERCE WAY BRENTWOOD TN 37027 1 1 0 0 Chairman / President / CEO Common Stock 2013-06-03 4 M 0 89600 15.60 A 412485 D Common Stock 2013-06-03 4 F 0 60838 34.90 D 351647 D Common Stock 2013-06-03 4 S 0 76802 35.00 D 274845 D Common Stock 2013-06-03 4 S 0 123198 35.00 D 106802 I By Yemin Investments, LP Stock Appreciation Right 15.60 2013-06-03 4 M 0 89600 0.00 D Common Stock 89600 112000 D 28,762 shares of Common Stock were issued to Mr. Yemin in connection with the net share settlement of 89,600 stock appreciation rights ("SARs"). 60,838 shares of Common Stock were withheld as a cashless exercise and to pay withholding taxes. The SARs vest ratably on the last day of each calendar month beginning January 31, 2013 through October 31, 2013. The SARs terminate upon the earlier of (a) the one year anniversary of termination of employment or (b) October 31, 2014. /s/ Ezra Uzi Yemin 2013-06-05