0001437749-23-027906.txt : 20231010 0001437749-23-027906.hdr.sgml : 20231010 20231010070220 ACCESSION NUMBER: 0001437749-23-027906 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231005 FILED AS OF DATE: 20231010 DATE AS OF CHANGE: 20231010 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: 231315612 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 rdgdoc.xml FORM 4 X0508 4 2023-10-05 0000821483 PAR PACIFIC HOLDINGS, INC. PARR 0001612285 Clossey Timothy 825 TOWN AND COUNTRY LANE SUITE 1500 HOUSTON TX 77024 1 0 Common stock 2023-10-05 4 A 0 770 0 A 78086 D Represents a grant of restricted stock received by the reporting person. The shares will vest in full and be delivered on October 5, 2024. /s/ Timothy Clossey 2023-10-10