Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 6:49PM
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
*
DOZIER C MICHAEL |
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)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
SENIOR VICE PRESIDENT |
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(Last)
(First)
(Middle)
777 - 106TH AVE. N.E. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/1/2021 |
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(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 | 1/1/2021 | | M(1) | | 1925.0000 | A | $0 (1) | 6616.0000 | D | |
| Common Stock | 1/4/2021 | | F(2) | | 744.0000 | D | $86.2800 | 5872.0000 | D | |
| Common Stock | | | | | | | | 10463.0430 | I | By PACCAR Savings Investment Plan (SIP) |
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 Units (LTIP) (3) | (3) | 1/1/2021 | | M (1) | | | 1925.0000 | (3) | (3) | Common Stock | 1925.0000 | (3) | 2790.0000 | D | |
| Stock Option | $62.4600 | | | | | | | 1/1/2018 | 2/4/2025 | Common Stock | 4814.0000 | | 4814.0000 | D | |
| Stock Option | $65.5600 | | | | | | | 1/1/2022 | 2/6/2029 | Common Stock | 11178.0000 | | 11178.0000 | D | |
| Stock Option | $67.6300 | | | | | | | 1/1/2020 | 2/7/2027 | Common Stock | 9406.0000 | | 9406.0000 | D | |
| Stock Option | $68.6900 | | | | | | | 1/1/2021 | 2/7/2028 | Common Stock | 8290.0000 | | 8290.0000 | D | |
| Stock Option | $76.1800 | | | | | | | 1/1/2023 | 2/4/2030 | Common Stock | 12070.0000 | | 12070.0000 | D | |
| Explanation of Responses: |
| (1) | Restricted stock units converted to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. |
| (2) | Shares withheld for payment of tax liability in connection with the vesting of restricted shares and/or restricted stock units. |
| (3) | Restricted stock units awarded under PACCAR Long Term Incentive Plan (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
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
DOZIER C MICHAEL
777 - 106TH AVE. N.E.
BELLEVUE, WA 98004 |
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| SENIOR VICE PRESIDENT |
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Signatures
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| Irene E. Song, by Power of Attorney | | 1/5/2021 |
| **Signature of Reporting Person | Date |
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