Statement of Changes in Beneficial Ownership (4)

Date : 11/05/2019 @ 6:09PM
Source : Edgar (US Regulatory)
Stock : PACCAR Inc (PCAR)
Quote : 77.54  -0.98 (-1.25%) @ 11:01PM
PACCAR share price Chart
After Hours
Last Trade
Last $ 77.54 ◊ 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...
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 *

DOZIER C MICHAEL
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)
VICE PRESIDENT
(Last)          (First)          (Middle)

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

11/1/2019
(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  11/1/2019    M    6644  A $47.81  10163  D 
 
COMMON STOCK  11/1/2019    S    6644  D $77.6508 (2) 3519  D 
 
COMMON STOCK (SIP) (1)                9780.013  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 (3) $47.81  11/1/2019    M        6644   1/1/2016  2/6/2023  COMMON STOCK  6644  $0 (3) 0  D 
 
STOCK OPTION (3) $59.15                  1/1/2017  2/7/2024  COMMON STOCK  5232    5232  D 
 
STOCK OPTION (3) $62.46                  1/1/2018  2/4/2025  COMMON STOCK  4814    4814  D 
 
STOCK OPTION (3) $50.00                  1/1/2019  2/4/2026  COMMON STOCK  6926    6926  D 
 
STOCK OPTION (3) $67.63                  1/1/2020  2/7/2027  COMMON STOCK  9406    9406  D 
 
STOCK OPTION (3) $68.69                  1/1/2021  2/7/2028  COMMON STOCK  8290    8290  D 
 
STOCK OPTION (3) $65.56                  1/1/2022  2/6/2029  COMMON STOCK  11178    11178  D 
 
STOCK UNITS (LTIP) (4)  (4)                  (4)  (4) COMMON STOCK  3180    3180  D 
 

Explanation of Responses:
(1)  Shares held in PACCAR Savings Investment Plan (SIP).
(2)  The price shown is a weighted average sale price for shares sold in multiple transactions; the sale prices ranged from 77.6300 to 77.6550 per share. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range.
(3)  Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP).
(4)  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
DOZIER C MICHAEL
777 106TH AVE NE
BELLEVUE, WA 98004


VICE PRESIDENT

Signatures
C. Michael Dozier by Michael R. Beers POA 11/5/2019
**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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