Statement of Changes in Beneficial Ownership (4)

Date : 10/30/2019 @ 11:45PM
Source : Edgar (US Regulatory)
Stock : PACCAR Inc (PCAR)
Quote : 76.77  1.605 (2.14%) @ 11:36PM
PACCAR share price Chart
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Last Trade
Last $ 76.77 ◊ 0.00 (0.00%)

Statement of Changes in Beneficial Ownership (4)

FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

SCHIPPERS HARRIE
2. Issuer Name and Ticker or Trading Symbol

PACCAR INC [ PCAR ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
PRESIDENT & CFO
(Last)          (First)          (Middle)

777 106TH AVE NE
3. Date of Earliest Transaction (MM/DD/YYYY)

10/28/2019
(Street)

BELLEVUE, WA 98004
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
COMMON STOCK  10/28/2019    M    7927  A $43.24  40051  D 
 
COMMON STOCK  10/28/2019    S    7927  D $77.6817  32124  D 
 
COMMON STOCK (1)                905.352  D 
 

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
STOCK OPTION (2) $43.24  10/28/2019    M        7927   1/1/2015  2/2/2022  COMMON STOCK  7927  $0 (2) 7927  D 
 
STOCK OPTION (2) $47.81                  1/1/2016  2/6/2023  COMMON STOCK  11424    11424  D 
 
STOCK OPTION (2) $59.15                  1/1/2017  2/7/2024  COMMON STOCK  10848    10848  D 
 
STOCK OPTION (2) $62.46                  1/1/2018  2/4/2025  COMMON STOCK  8654    8654  D 
 
STOCK OPTION (2) $50.00                  1/1/2019  2/4/2026  COMMON STOCK  11568    11568  D 
 
STOCK OPTION (2) $67.63                  1/1/2020  2/7/2027  COMMON STOCK  24572    24572  D 
 
STOCK OPTION (2) $68.69                  1/1/2021  2/7/2028  COMMON STOCK  29052    29052  D 
 
STOCK OPTION (2) $65.56                  1/1/2022  2/6/2029  COMMON STOCK  54814    54814  D 
 
STOCK UNITS (LTIP) (3)  (3)                  (3)  (3) COMMON STOCK  10278    10278  D 
 

Explanation of Responses:
(1)  Shares held in PACCAR Savings Investment Plan (SIP).
(2)  Option to buy awarded under PACCAR LTIP.
(3)  Restricted stock units awarded under LTIP and convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. Each award vests in four equal installments commencing on March 1 following the award and January 1 of the next three years.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
SCHIPPERS HARRIE
777 106TH AVE NE
BELLEVUE, WA 98004


PRESIDENT & CFO

Signatures
Harrie Schippers by Michael R. Beers POA 10/30/2019
**Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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