0000050104-18-000158.txt : 20180703 0000050104-18-000158.hdr.sgml : 20180703 20180703160518 ACCESSION NUMBER: 0000050104-18-000158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180629 FILED AS OF DATE: 20180703 DATE AS OF CHANGE: 20180703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LILLEY DAVID CENTRAL INDEX KEY: 0001205336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03473 FILM NUMBER: 18937089 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_153064830039413.xml FORM 4 X0306 4 2018-06-29 0 0000050104 ANDEAVOR ANDV 0001205336 LILLEY DAVID BEECHCREST FARM 234 SADDLE RIVER ROAD SADDLE RIVER NJ 07458 1 0 0 0 Phantom Stock 2018-06-29 4 A 0 17.311 0 A Common Stock 17.311 4007.75 D Represents dividend equivalent rights accrued to previously granted phantom stock awards, which were awarded under the director's deferred compensation plan. The phantom stock will vest and be settled in shares of common stock (on a one-for-one basis) on the earliest of death, disability, or retirement from the board. /s/ Elisa D. Watts, Attorney-in-Fact for David Lilley 2018-07-03