0001104659-12-038586.txt : 20120518
0001104659-12-038586.hdr.sgml : 20120518
20120518201917
ACCESSION NUMBER: 0001104659-12-038586
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120516
FILED AS OF DATE: 20120518
DATE AS OF CHANGE: 20120518
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CVR ENERGY INC
CENTRAL INDEX KEY: 0001376139
STANDARD INDUSTRIAL CLASSIFICATION: PETROLEUM REFINING [2911]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2277 PLAZA DRIVE
STREET 2: SUITE 500
CITY: SUGAR LAND
STATE: TX
ZIP: 77479
BUSINESS PHONE: (281) 207-7711
MAIL ADDRESS:
STREET 1: 2277 PLAZA DRIVE
STREET 2: SUITE 500
CITY: SUGAR LAND
STATE: TX
ZIP: 77479
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ICAHN CARL C
CENTRAL INDEX KEY: 0000921669
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33492
FILM NUMBER: 12856919
BUSINESS ADDRESS:
STREET 1: C/O ICAHN ASSOCIATES CORP.
STREET 2: 767 FIFTH AVE., SUITE 4700
CITY: NEW YORK
STATE: NY
ZIP: 10153
BUSINESS PHONE: 212-702-4300
MAIL ADDRESS:
STREET 1: C/O ICAHN ASSOCIATES CORP.
STREET 2: 767 FIFTH AVE., SUITE 4700
CITY: NEW YORK
STATE: NY
ZIP: 10153
FORMER NAME:
FORMER CONFORMED NAME: ICAHN CARL C ET AL
DATE OF NAME CHANGE: 19950612
4
1
a4.xml
4
X0305
4
2012-05-16
0
0001376139
CVR ENERGY INC
CVI
0000921669
ICAHN CARL C
C/O ICAHN ASSOCIATES CORP.
767 FIFTH AVENUE, 47TH FLOOR
NEW YORK
NY
10153
1
0
1
0
Common Stock, par value $0.01 (''Shares'')
2012-05-16
4
P
0
355997
A
63113064
I
See Footnote
Shares
2012-05-17
4
P
0
1014723
A
64127787
I
See Footnote
Shares
2012-05-18
4
P
0
6057188
A
70184975
I
See Footnote
All Shares are beneficially owned indirectly by Carl C. Icahn through subsidiaries.
These Shares were acquired pursuant to the subsequent offering period relating to the tender offer by Mr. Icahn's affiliates commenced on February 23, 2012, as amended, for all outstanding Shares, which expired on May 4, 2012. The subsequent offering period expires at 11:59 p.m. (New York City time) on May 18, 2012. The purchase price per share was $30 plus one non-transferable contingent cash payment right.
Certain members of the Issuer's Board of Directors were appointed by, and serve as representatives of, Carl C. Icahn. Mr. Icahn is deemed a director of the Issuer by virtue of his representatives on the Issuer's Board of Directors.
/s/ Carl C. Icahn
2012-05-18