Statement of Changes in Beneficial Ownership (4)

Date : 11/01/2019 @ 8:45PM
Source : Edgar (US Regulatory)
Stock : PACCAR Inc (PCAR)
Quote : 76.94  0.0 (0.00%) @ 9:00AM
PACCAR share price Chart

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...
0.5
                      
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 *

PIGOTT MARK C
2. Issuer Name and Ticker or Trading Symbol

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

__X__ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
Executive Chairman
(Last)          (First)          (Middle)

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

10/30/2019
(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  10/30/2019    M    134492  A $36.12  3020937  D 
 
COMMON STOCK                 283280  I  WIFE AND CHILDREN 
COMMON STOCK (SIP) (1)                90681.889  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) $36.12  10/30/2019    M        134492   1/1/2013  2/2/2020  COMMON STOCK  134492  $0 (2) 0  D 
 
STOCK OPTION (2) $50.50                  1/1/2014  2/3/2021  COMMON STOCK  92832    92832  D 
 
STOCK OPTION (2) $43.24                  1/1/2015  2/2/2022  COMMON STOCK  134084    134084  D 
 
STOCK OPTION (2) $47.81                  1/1/2016  2/6/2023  COMMON STOCK  108714    108714  D 
 
STOCK OPTION (2) $59.15                  1/1/2017  2/7/2024  COMMON STOCK  85618    85618  D 
 
COMMON STOCK (LTIP) (3)  (3)                  (3)  (3) COMMON STOCK  47132.317    47132.317  D 
 
COMMON STOCK (DICP) (4)  (4)                  (4)  (4) COMMON STOCK  117465.503    117465.503  D 
 
COMMON STOCK (DCP) (5)  (5)                  (5)  (5) COMMON STOCK  35911.652    35911.652  D 
 

Explanation of Responses:
(1)  Shares held in PACCAR Savings Investment Plan (SIP).
(2)  Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP).
(3)  Share units held in deferred phantom stock account under LTIP convertible to common stock on a one for one basis upon satisfaction of all applicable conditions.
(4)  Share units held in deferred phantom stock account under PACCAR Deferred Incentive Compensation Plan (DICP) convertible to common stock on a one for one basis upon satisfaction of all applicable conditions.
(5)  Share units held in deferred phantom stock account under PACCAR Deferred Compensation Plan (DCP) convertible to common stock on a one for one basis upon satisfaction of all applicable conditions

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
PIGOTT MARK C
777 106TH AVENUE NE
BELLEVUE, WA 98004
X
Executive Chairman

Signatures
Mark C. Pigott 11/1/2019
**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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