0001140361-13-027124.txt : 20130702
0001140361-13-027124.hdr.sgml : 20130702
20130702160615
ACCESSION NUMBER: 0001140361-13-027124
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130630
FILED AS OF DATE: 20130702
DATE AS OF CHANGE: 20130702
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: 13948604
MAIL ADDRESS:
STREET 1: 830 CRESCENT CENTRE DRIVE, SUITE 300
CITY: FRANKLIN
STATE: TN
ZIP: 37067
4
1
doc1.xml
FORM 4
X0306
4
2013-06-30
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
2013-06-30
4
M
0
22400
15.60
A
297245
D
Common Stock
2013-06-30
4
F
0
16446
28.78
D
280799
D
Stock Appreciation Right
15.60
2013-06-30
4
M
0
22400
0.00
D
Common Stock
22400
89600
D
5,954 shares of Common Stock were issued to Mr. Yemin in connection with the net share settlement of 22,400 stock appreciation rights ("SARs"). 16,446 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
2013-07-02