-----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, TPXFQNDtHFGlw8dWIM/9qRj3Zbu54Z2s+aOYk+cjWgU8yb00XiZzi7IpzCTaANq8 58fenKYl2EneNfz0ohOuow== 0000769993-11-000034.txt : 20110119 0000769993-11-000034.hdr.sgml : 20110119 20110119171530 ACCESSION NUMBER: 0000769993-11-000034 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110110 FILED AS OF DATE: 20110119 DATE AS OF CHANGE: 20110119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lebovitz Scott L CENTRAL INDEX KEY: 0001414603 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33492 FILM NUMBER: 11536436 MAIL ADDRESS: STREET 1: 85 BROAD STREET CITY: NEW YORK STATE: NY ZIP: 10004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CVR ENERGY INC CENTRAL INDEX KEY: 0001376139 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 2277 PLAZA DRIVE STREET 2: SUITE 500 CITY: SUGAR LAND STATE: TX ZIP: 77479 BUSINESS PHONE: (281) 207-7711 MAIL ADDRESS: STREET 1: 2277 PLAZA DRIVE STREET 2: SUITE 500 CITY: SUGAR LAND STATE: TX ZIP: 77479 4 1 cvi420110112sll_ex.xml X0303 4 2011-01-10 0 0001376139 CVR ENERGY INC CVI 0001414603 Lebovitz Scott L C/O GOLDMAN, SACHS & CO. 200 WEST STREET NEW YORK NY 10282 1 0 0 0 Common Stock 2011-01-10 4 P 0 200 15.18 A 15113654 I See footnotes Common Stock 2011-01-10 4 P 0 200 15.19 A 15113854 I See footnotes Common Stock 2011-01-10 4 P 0 400 15.20 A 15114254 I See footnotes Common Stock 2011-01-10 4 P 0 1200 15.21 A 15115454 I See footnotes Common Stock 2011-01-10 4 P 0 3620 15.22 A 15119074 I See footnotes Common Stock 2011-01-12 4 P 0 2533 15.5 A 15121607 I See footnotes The Reporting Person is a managing director of Goldman, Sachs & Co. ("Goldman Sachs"). Goldman Sachs is a wholly-owned subsidiary of The Goldman Sachs Group, Inc. ("GS Group"). The Reporting Person disclaims beneficial ownership of the securities reported herein except to the extent of his pecuniary interest therein, if any. The shares of common stock, par value $0.01 per share (the "Common Stock"), of CVR Energy, Inc. (the "Company") reported herein as indirectly purchased were beneficially owned directly by Goldman Sachs and indirectly by GS Group. Without admitting any legal obligation, Goldman Sachs or another wholly-owned subsidiary of GS Group will remit appropriate profits, if any, to the Company. Goldman Sachs beneficially owns directly and GS Group may be deemed to beneficially own indirectly 8,353 shares of Common Stock. Goldman Sachs and GS Group may be deemed to beneficially own indirectly 15,113,254 shares of Common Stock that are beneficially owned directly by Coffeyville Acquisition II LLC ("CA II") through certain investment partnerships that are members of and own common units of CA II because (i) affiliates of Goldman Sachs and GS Group are the general partner, managing limited partner, managing partner, managing member or member of those investment partnerships and (ii) those investment partnerships control CA II and have the power to vote or dispose of the Common Stock owned by CA II. /s/ Yvette Kosic, Attorney-in-fact 2011-01-19 -----END PRIVACY-ENHANCED MESSAGE-----