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