0001376139-11-000013.txt : 20110516
0001376139-11-000013.hdr.sgml : 20110516
20110516172301
ACCESSION NUMBER: 0001376139-11-000013
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110513
FILED AS OF DATE: 20110516
DATE AS OF CHANGE: 20110516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAUGEN ROBERT W
CENTRAL INDEX KEY: 0001403554
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33492
FILM NUMBER: 11848624
MAIL ADDRESS:
STREET 1: C/O CVR ENERGY, INC.
STREET 2: 2277 PLAZA DRIVE, SUITE 500
CITY: SUGAR LAND
STATE: TX
ZIP: 77479
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
primary_doc.xml
PRIMARY DOCUMENT
X0303
4
2011-05-13
0
0001376139
CVR ENERGY INC
CVI
0001403554
HAUGEN ROBERT W
C/O CVR ENERGY, INC.
2277 PLAZA DRIVE, SUITE 500
SUGAR LAND
TX
77479
0
1
0
0
EVP, Refining Operations
Common Stock
2011-05-13
4
S
0
5000
19.5
D
33691
D
/s/ Susan M. Ball, Attorney-in-fact
2011-05-16