0000899243-21-015185.txt : 20210407 0000899243-21-015185.hdr.sgml : 20210407 20210407102504 ACCESSION NUMBER: 0000899243-21-015185 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210405 FILED AS OF DATE: 20210407 DATE AS OF CHANGE: 20210407 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clossey Timothy CENTRAL INDEX KEY: 0001612285 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36550 FILM NUMBER: 21811023 MAIL ADDRESS: STREET 1: ONE MEMORIAL PLAZA STREET 2: 800 GESSNER ROAD, SUITE 875 CITY: HOUSTON STATE: TX ZIP: 77024 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 2021-04-05 0 0000821483 PAR PACIFIC HOLDINGS, INC. PARR 0001612285 Clossey Timothy 825 TOWN AND COUNTRY LANE, SUITE 1500 HOUSTON TX 77024 1 0 0 0 Restricted stock units 2021-04-05 4 A 0 1520 0.00 A Common stock 1520 1520 D Each restricted stock unit represents a contingent right to receive one share of common stock. Represents an award of restricted stock that will vest in full on April 5, 2022 and will be delivered on July 1, 2023. /s/ Timothy Clossey 2021-04-06