-----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, WLqiRtwkSm67LJVTrDPYJ+xu3wdgR1hTZUA7Rh4yz7sV2ixXsjDeodp+bh+6eyZ/ XqiHu712s3hVklXuxnJ02Q== 0001140361-09-029337.txt : 20091216 0001140361-09-029337.hdr.sgml : 20091216 20091216161145 ACCESSION NUMBER: 0001140361-09-029337 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091214 FILED AS OF DATE: 20091216 DATE AS OF CHANGE: 20091216 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: Delek Group, Ltd. CENTRAL INDEX KEY: 0001361371 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32868 FILM NUMBER: 091244752 BUSINESS ADDRESS: STREET 1: 7, GIBOREI ISRAEL STREET, P.O.B. 8464 STREET 2: INDUSTRIAL ZONE SOUTH CITY: NETANYA STATE: L3 ZIP: 42504 BUSINESS PHONE: 011-972-9-863-8590 MAIL ADDRESS: STREET 1: 7, GIBOREI ISRAEL STREET, P.O.B. 8464 STREET 2: INDUSTRIAL ZONE SOUTH CITY: NETANYA STATE: L3 ZIP: 42504 4 1 doc1.xml FORM 4 X0303 4 2009-12-14 0 0001351541 Delek US Holdings, Inc. DK 0001361371 Delek Group, Ltd. 7, GIBOREI ISRAEL STREET, P.O.B. 8464 INDUSTRIAL ZONE SOUTH NETANYA L3 42504 ISRAEL 0 0 1 0 Common Stock 2009-12-14 4 P 0 22971 5.8395 A 39636432 I See footnote Common Stock 2009-12-15 4 P 0 100000 5.8969 A 39736432 I See footnote The purchase price is a weighted average resulting from four different purchase prices ranging between $5.8171 and $5.95. The reporting person will maintain documentation that shows the number of shares purchased at each separate price, and, upon written request, will provide this information to the SEC staff, the issuer, or a security holder of the issuer. Represents 39,389,869 and 246,563 shares owned of record by subsidiaries Delek Hungary Holding Limited Liability Company and Delek Petroleum, Ltd. respectively. Delek Group, Ltd. disclaims beneficial ownership of these shares except to the extent of its pecuniary interest therein. The purchase price is a weighted average resulting from 12 different purchase prices ranging between $5.8373 and $5.9947. The reporting person will maintain documentation that shows the number of shares purchased at each separate price, and, upon written request, will provide this information to the SEC staff, the issuer, or a security holder of the issuer. Represents 39,389,869 and 346,563 shares owned of record by subsidiaries Delek Hungary Holding Limited Liability Company and Delek Petroleum, Ltd. respectively. Delek Group, Ltd. disclaims beneficial ownership of these shares except to the extent of its pecuniary interest therein. /s/ Leora Pratt Levin, Attorney-In-Fact 2009-12-16 -----END PRIVACY-ENHANCED MESSAGE-----