0000050104-18-000060.txt : 20180227 0000050104-18-000060.hdr.sgml : 20180227 20180227184630 ACCESSION NUMBER: 0000050104-18-000060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180225 FILED AS OF DATE: 20180227 DATE AS OF CHANGE: 20180227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peery Blane W. CENTRAL INDEX KEY: 0001690708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03473 FILM NUMBER: 18647279 MAIL ADDRESS: STREET 1: 19100 RIDGEWOOD PARKWAY CITY: SAN ANTONIO STATE: TX ZIP: 78259 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ANDEAVOR CENTRAL INDEX KEY: 0000050104 STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911] IRS NUMBER: 950862768 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19100 RIDGEWOOD PKWY CITY: SAN ANTONIO STATE: TX ZIP: 78259-1828 BUSINESS PHONE: 210 626-6000 MAIL ADDRESS: STREET 1: 19100 RIDGEWOOD PKWY CITY: SAN ANTONIO STATE: TX ZIP: 78259-1828 FORMER COMPANY: FORMER CONFORMED NAME: TESORO CORP /NEW/ DATE OF NAME CHANGE: 20041108 FORMER COMPANY: FORMER CONFORMED NAME: TESORO PETROLEUM CORP /NEW/ DATE OF NAME CHANGE: 19920703 4 1 wf-form4_151977517624531.xml FORM 4 X0306 4 2018-02-25 0 0000050104 ANDEAVOR ANDV 0001690708 Peery Blane W. 19100 RIDGEWOOD PARKWAY SAN ANTONIO TX 78259 0 1 0 0 Vice President and Controller Common Stock 2018-02-25 4 M 0 2855 A 6697.45 D Common Stock 2018-02-25 4 F 0 696 94.53 D 6001.45 D Market Stock Unit Award 2018-02-25 4 M 0 1883 0 D Common Stock 1883.0 0 D Vesting and settlement of market stock unit award previously granted under the Amended and Restated Andeavor 2011 Long-Term Incentive Plan. The market stock units vested on the third anniversary of the grant date, were adjusted based upon an ANDV stock price performance multiple, and were settled in shares of common stock upon certification by the Compensation Committee. Includes 190.45 shares of common stock held through the Andeavor 401(k) Plan (based upon a plan statement dated as of December 31, 2017). These shares of common stock were automatically withheld by the Issuer to satisfy tax withholding obligations associated with the vesting of the market stock unit award described in footnote 1. /s/ Elisa D. Watts, Attorney-in-Fact for Blane W. Peery 2018-02-27