0001694426-18-000173.txt : 20180614
0001694426-18-000173.hdr.sgml : 20180614
20180614154748
ACCESSION NUMBER: 0001694426-18-000173
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180612
FILED AS OF DATE: 20180614
DATE AS OF CHANGE: 20180614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller Anthony L.
CENTRAL INDEX KEY: 0001650395
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38142
FILM NUMBER: 18899102
MAIL ADDRESS:
STREET 1: 7102 COMMERCE WAY
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Delek US Holdings, Inc.
CENTRAL INDEX KEY: 0001694426
STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911]
IRS NUMBER: 352581557
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7102 COMMERCE WAY
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-721-3715
MAIL ADDRESS:
STREET 1: 7102 COMMERCE WAY
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
FORMER COMPANY:
FORMER CONFORMED NAME: Delek Holdco, Inc.
DATE OF NAME CHANGE: 20170111
4
1
wf-form4_152900565030076.xml
FORM 4
X0306
4
2018-06-12
0
0001694426
Delek US Holdings, Inc.
DK
0001650395
Miller Anthony L.
7102 COMMERCE WAY
BRENTWOOD
TN
37027
0
1
0
0
Executive Vice President
Common Stock
2018-06-12
4
M
0
1625
30.10
A
12897
D
Common Stock
2018-06-12
4
M
0
1625
36.53
A
14522
D
Common Stock
2018-06-12
4
D
0
2005
54.03
D
12517
D
Common Stock
2018-06-12
4
F
0
305
54.03
D
12212
D
Common Stock
2018-06-12
4
S
0
2143
54.0436
D
10069
D
Stock Appreciation Right
30.1
2018-06-12
4
M
0
1625
0
D
2017-06-10
2024-06-10
Common Stock
1625.0
0
D
Stock Appreciation Right
36.53
2018-06-12
4
M
0
1625
0
D
2017-06-10
2025-06-10
Common Stock
1625.0
1625
D
Reflects shares issued upon the exercise of stock appreciation rights granted to the Reporting Person on June 10, 2014, which vested ratably on June 10 of 2015, 2016, 2017 and 2018 and which were exercised by the Reporting Person on June 12, 2018.
Reflects shares issued upon the exercise of stock appreciation rights granted to the Reporting Person on June 10, 2015, which vested ratably on June 10 of 2016, 2017 and 2018 and which were exercised by the Reporting Person on June 12, 2018.
Disposition of shares of common stock to the Issuer for payment of the exercise price in connection with the exercise of the stock appreciation rights.
Shares withheld to cover the tax withholding obligations in connection with the exercise of the stock appreciation rights.
/s/ Anthony L. Miller
2018-06-13