Statement of Changes in Beneficial Ownership (4)
January 09 2020 - 05:50PM
Edgar (US Regulatory)
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
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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
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1. Name and Address of Reporting Person
*
PIGOTT MARK C |
2. Issuer Name and Ticker or Trading Symbol
PACCAR INC
[
PCAR
]
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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)
1/8/2020 |
(Street)
BELLEVUE, WA 98004
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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COMMON STOCK | | | | | | | | 3020937 | D | |
COMMON STOCK | | | | | | | | 283280 | I | WIFE AND CHILDREN |
COMMON STOCK (SIP) (1) | 1/8/2020 | | J(2) | | 2654.832 | A | $78.96 | 93699.768 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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) | $50.50 | | | | | | | 1/1/2014 | 2/3/2021 | COMMON STOCK | 92832 | | 92832 | D | |
STOCK OPTION (3) | $43.24 | | | | | | | 1/1/2015 | 2/2/2022 | COMMON STOCK | 134084 | | 134084 | D | |
STOCK OPTION (3) | $47.81 | | | | | | | 1/1/2016 | 2/6/2023 | COMMON STOCK | 108714 | | 108714 | D | |
STOCK OPTION (3) | $59.15 | | | | | | | 1/1/2017 | 2/7/2024 | COMMON STOCK | 85618 | | 85618 | D | |
COMMON STOCK (LTIP) (4) | (4) | 1/8/2020 | | J (5) | | 1378.387 | | (4) | (4) | COMMON STOCK | 1378.387 | $78.96 | 48699.021 | D | |
COMMON STOCK (DICP) (6) | (6) | 1/8/2020 | | J (7) | | 3435.286 | | (6) | (6) | COMMON STOCK | 3435.286 | $78.96 | 121370.123 | D | |
COMMON STOCK (DCP) (8) | (8) | 1/8/2020 | | J (9) | | 1050.238 | | (8) | (8) | COMMON STOCK | 1050.238 | $78.96 | 37105.376 | D | |
Explanation of Responses: |
(1) | Shares held in PACCAR Savings Investment Plan (SIP). |
(2) | Dividend on PACCAR Savings Investment Plan (SIP) shares reinvested pursuant to SIP. |
(3) | Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP). |
(4) | 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. |
(5) | Dividend on share units held in deferred phantom stock account under LTIP reinvested pursuant to LTIP. |
(6) | 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. |
(7) | Dividend on share units held in deferred phantom stock account under DICP reinvested pursuant to DICP. |
(8) | 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 |
(9) | Dividend on share units held in deferred phantom stock account under DCP reinvested pursuant to DCP. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
PIGOTT MARK C 777 106TH AVENUE NE BELLEVUE, WA 98004 | X |
| Executive Chairman |
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Signatures
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Mark C. Pigott | | 1/9/2020 |
**Signature of Reporting Person | Date |
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