0000899243-21-009113.txt : 20210302 0000899243-21-009113.hdr.sgml : 20210302 20210302193042 ACCESSION NUMBER: 0000899243-21-009113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210226 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Israel Joseph CENTRAL INDEX KEY: 0001333478 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36550 FILM NUMBER: 21706215 MAIL ADDRESS: STREET 1: 7616 LBJ FREEWAY STREET 2: SUITE 300 CITY: DALLAS STATE: TX ZIP: 75251 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAR PACIFIC HOLDINGS, INC. CENTRAL INDEX KEY: 0000821483 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 841060803 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 825 TOWN & COUNTRY LANE STREET 2: SUITE 1500 CITY: HOUSTON STATE: TX ZIP: 77024 BUSINESS PHONE: (281) 899-4800 MAIL ADDRESS: STREET 1: 825 TOWN & COUNTRY LANE STREET 2: SUITE 1500 CITY: HOUSTON STATE: TX ZIP: 77024 FORMER COMPANY: FORMER CONFORMED NAME: PAR PETROLEUM CORP/CO DATE OF NAME CHANGE: 20120907 FORMER COMPANY: FORMER CONFORMED NAME: DELTA PETROLEUM CORP/CO DATE OF NAME CHANGE: 19920703 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-26 0 0000821483 PAR PACIFIC HOLDINGS, INC. PARR 0001333478 Israel Joseph 825 TOWN AND COUNTRY LANE, SUITE 1500 HOUSTON TX 77024 1 1 0 0 Senior Vice President Common stock 2021-02-26 4 F 0 704 17.67 D 94076 D Common stock 2021-02-27 4 F 0 609 17.67 D 93467 D Common stock 2021-02-27 4 A 0 12326 17.67 A 105793 D Common stock 2021-02-27 4 F 0 3181 17.67 D 102612 D Common stock 2021-02-28 4 F 0 730 17.67 D 101882 D Represents shares of common stock withheld by the Issuer for payment of withholding tax liability incurred upon the vesting of restricted shares of common stock. Represents shares of common stock withheld by the Issuer for payment of withholding tax liability incurred upon the vesting of restricted shares of common stock. Each performance-based restricted stock unit ("RSU") represents the right to receive, upon vesting, up to 120% of one share of Par Pacific Holdings, Inc. ("Par Pacific") common stock. The resulting number of shares of Par Pacific common stock acquired upon vesting of the performance-based RSU is contingent upon the achievement of pre-established performance metrics, as approved by Par Pacific's Compensation Committee, over a three-year performance period beginning on the grant date and ending on the third anniversary of the grant date. Upon conversion, the reporting person received 12,326 shares of Par Pacific common stock. Represents shares of common stock withheld by the Issuer for payment of withholding tax liability incurred upon the vesting of performance restricted stock units. Represents shares of common stock withheld by the Issuer for payment of withholding tax liability incurred upon the vesting of restricted shares of common stock. /s/ Joseph Israel 2021-03-02