0001376139-12-000044.txt : 20120925
0001376139-12-000044.hdr.sgml : 20120925
20120925174554
ACCESSION NUMBER: 0001376139-12-000044
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120613
FILED AS OF DATE: 20120925
DATE AS OF CHANGE: 20120925
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAUGEN ROBERT W
CENTRAL INDEX KEY: 0001403554
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33492
FILM NUMBER: 121109776
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
FISCAL YEAR END: 1231
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
5
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
5
2012-06-13
0
0
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
2012-06-13
5
P
0
1
24.54
A
43095
D
/s/ Edmund S. Gross, Attorney-in-fact
2012-09-25