0001209191-11-059139.txt : 20111202 0001209191-11-059139.hdr.sgml : 20111202 20111202162735 ACCESSION NUMBER: 0001209191-11-059139 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111130 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rae Nancy Ann CENTRAL INDEX KEY: 0001518993 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54282 FILM NUMBER: 111240757 MAIL ADDRESS: STREET 1: 1000 CHRYSLER DRIVE STREET 2: CIMS 485-08-96 CITY: AUBURN HILLS STATE: MI ZIP: 48326 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Chrysler Group LLC CENTRAL INDEX KEY: 0001513153 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 270187394 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1000 CHRYSLER DRIVE CITY: AUBURN HILLS STATE: MI ZIP: 48326 BUSINESS PHONE: 800-247-9753 MAIL ADDRESS: STREET 1: 1000 CHRYSLER DRIVE CITY: AUBURN HILLS STATE: MI ZIP: 48326 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-30 0 0001513153 Chrysler Group LLC NONE 0001518993 Rae Nancy Ann C/O CHRYSLER GROUP LLC 1000 CHRYSLER DRIVE AUBURN HILLS MI 48326 0 1 0 0 SVP - Human Resources Deferred Phantom Shares 2011-11-30 4 A 0 2831.4 0.00 A Class A Membership Interests 4.719 5662.8 D Each Deferred Phantom Share ("DPS") represents a unit (a "Chrysler Group Unit") equal to 1/600th of the value of a Class A Membership Interest of Chrysler Group LLC (the "Company") on a fully diluted basis after conversion of the Company's Class B Membership Interests pursuant to the terms of the Company's limited liability company operating agreement. Granted on November 30, 2011. Under the Company's Deferred Phantom Share Plan (the "Plan"), each DPS is fully vested upon grant and settles in cash in three equal installments at the end of each quarter in which the second, third and fourth anniversaries of the monthly grant occur. As a result of the early repayment of the Company's TARP obligations and in accordance with the Plan, however, each installment will be paid one year earlier commencing as early as practicable in 2012. /s/ Rajesh N. Choudhary Attorney-in-Fact 2011-12-02