Statement of Changes in Beneficial Ownership (4)
January 27 2023 - 04:29PM
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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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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 * GUSTAVSON JEFF B |
2. Issuer Name and Ticker or Trading
Symbol CHEVRON CORP [ CVX ] |
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)
6001 BOLLINGER CANYON ROAD |
3. Date of Earliest Transaction (MM/DD/YYYY)
1/25/2023
|
(Street)
SAN RAMON, CA 94583
(City)
(State)
(Zip)
|
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 |
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 |
1/25/2023 |
|
A |
|
2220 (1) |
A |
$0 |
2220 |
D |
|
Common Stock |
|
|
|
|
|
|
|
3 |
I |
by 401(k) plan |
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 |
Non-Qualified Stock Option (Right to
Buy) |
$179.08 |
1/25/2023 |
|
A |
|
8700 |
|
(2) |
1/25/2033 |
Common Stock |
8700 |
$0 |
8700 |
D |
|
Explanation of
Responses: |
(1) |
Restricted stock units
granted under the Chevron Corporation 2022 Long-Term Incentive
Plan. Each restricted stock unit is the economic equivalent of one
share of Chevron Corporation common stock. Restricted stock units
accrue dividend equivalents in the form of additional restricted
stock units. One-third of the shares subject to this award vest on
January 31, 2024, January 31, 2025 and January 31, 2026,
respectively, and will settle in shares of Chevron common stock on
the date of vesting. Shares issued upon vesting are subject to a
two-year post-vesting holding period, which is removed upon
termination of employment. |
(2) |
One-third of the shares
subject to the option vest on January 31, 2024, January 31, 2025
and January 31, 2026, respectively. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
GUSTAVSON JEFF B
6001 BOLLINGER CANYON ROAD
SAN RAMON, CA 94583 |
|
|
Vice President |
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Signatures
|
/s/ Rose Z. Pierson, Attorney-in-Fact for Jeff B.
Gustavson |
|
1/27/2023 |
**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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