Statement of Changes in Beneficial Ownership (4)

Date : 01/10/2020 @ 5:47PM
Source : Edgar (US Regulatory)
Stock : PACCAR Inc (PCAR)
Quote : 75.36  -0.18 (-0.24%) @ 9:54PM
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Last $ 75.36 ◊ 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
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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 *

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)
SENIOR VICE PRESIDENT
(Last)          (First)          (Middle)

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

1/8/2020
(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         4037 D 
 
COMMON STOCK (SIP) (1)1/8/2020  J(2)  286.323 A$78.96 10105.491 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 Security3. Trans. Date3A. Deemed Execution Date, if any4. 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 Date7. 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)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
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 2120  2120 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) 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
Director10% OwnerOfficerOther
DOZIER C MICHAEL
777 106TH AVE NE
BELLEVUE, WA 98004


SENIOR VICE PRESIDENT

Signatures
C. Michael Dozier1/9/2020
**Signature of Reporting PersonDate

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