Amended Statement of Beneficial Ownership (3/a)
August 18 2022 - 6:43PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Ho Tai Wendy |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/11/2022
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3. Issuer Name and Ticker or Trading Symbol
PBF Energy Inc. [PBF]
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(Last)
(First)
(Middle)
ONE SYLVAN WAY, SECOND FLOOR |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Senior Vice President, HR / |
(Street)
PARSIPPANY, NJ 07054
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY) 4/20/2022
| 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 30585 | D | |
Class B Common Stock (1) | 1 | 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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | (2) | 2/11/2029 | Class A Common Stock | 12500 | $35.30 | D | |
Employee Stock Option (Right to Buy) | (3) | 2/10/2030 | Class A Common Stock | 16459 | $27.86 | D | |
Employee Stock Option (Right to Buy) | (4) | 11/9/2030 | Class A Common Stock | 22220 | $6.72 | D | |
Employee Stock Option (Right to Buy) | (5) | 11/18/2031 | Class A Common Stock | 12094 | $13.91 | D | |
Series A Units of PBF Energy Company LLC | (6) | (6) | Class A Common Stock | 14200 | (6) | D | |
Explanation of Responses: |
(1) | The Class B Common Stock entitles the reporting person to one vote for each Series A Unit of PBF Energy Company LLC held by such reporting person. |
(2) | The options were granted on February 11, 2019 and vest in four annual installments beginning February 11, 2020. |
(3) | The options were granted on February 10, 2020 and vest in four annual installments beginning February 10, 2021. |
(4) | The options were granted on November 9, 2020 and vest in three annual installments beginning November 9, 2021. |
(5) | The options were granted on November 18, 2021 and vest in three annual installments beginning November 18, 2022. |
(6) | Pursuant to an exchange agreement the Series A Units of PBF Energy Company LLC are exchangeable at any time for shares of Class A Common Stock of PBF Energy Inc. on a one-for-one basis, subject to equitable adjustments for stock splits, stock dividends and reclassifications. As the reporting person exchanges the Series A Units of PBF Energy Company LLC for shares of Class A Common Stock of PBF Energy Inc. pursuant to the exchange agreement, the voting power afforded to the reporting person by his share of Class B Common Stock of PBF Energy Inc. will be automatically and correspondingly reduced. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ho Tai Wendy ONE SYLVAN WAY SECOND FLOOR PARSIPPANY, NJ 07054 |
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| Senior Vice President, HR |
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Signatures
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/s/ Wendy Ho Tai by Trecia Canty as Attorney-in-Fact | | 8/18/2022 |
**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 5(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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