Statement of Changes in Beneficial Ownership (4)
November 08 2021 - 11:18AM
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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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
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1. Name and Address of Reporting Person
*
SCHIPPERS HARRIE |
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) PRESIDENT & CFO |
(Last)
(First)
(Middle)
777 - 106TH AVE. N.E. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/5/2021 |
(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 | 11/5/2021 | | M | | 14572.0000 | A | $67.6300 | 58433.0000 | D | |
Common Stock | 11/5/2021 | | S | | 14572.0000 | D | $90.1651 (1) | 43861.0000 | D | |
Common Stock | | | | | | | | 1317.9490 (2) | 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 Option | $67.6300 | 11/5/2021 | | M | | | 14572.0000 | 1/1/2020 | 2/7/2027 | Common Stock | 14572.0000 | (3) | 0.0000 | D | |
Stock Option | $50.0000 | | | | | | | 1/1/2019 | 2/4/2026 | Common Stock | 11568.0000 | | 11568.0000 | D | |
Stock Option | $62.4600 | | | | | | | 1/1/2018 | 2/4/2025 | Common Stock | 8654.0000 | | 8654.0000 | D | |
Stock Option | $65.5600 | | | | | | | 1/1/2022 | 2/6/2029 | Common Stock | 54814.0000 | | 54814.0000 | D | |
Stock Option | $68.6900 | | | | | | | 1/1/2021 | 2/7/2028 | Common Stock | 29052.0000 | | 29052.0000 | D | |
Stock Option | $76.1800 | | | | | | | 1/1/2023 | 2/4/2030 | Common Stock | 43198.0000 | | 43198.0000 | D | |
Stock Option | $91.8900 | | | | | | | 1/1/2024 | 2/2/2031 | Common Stock | 43660.0000 | | 43660.0000 | D | |
Stock Units (LTIP) | (4) | | | | | | | (4) | (4) | Common Stock | 19575.0000 | | 19575.0000 | D | |
Explanation of Responses: |
(1) | The price shown is a weighted average sale price for shares sold in multiple transactions; the sale prices ranged from 90.060 to 90.405 per share. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range. |
(2) | Balance includes shares awarded under PACCAR Savings Investment Plan (Company match) in exempt transaction(s) under Rule16b-3(c) and Rule 16b-3(d). |
(3) | Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP). |
(4) | Restricted stock units held in deferred phantom stock account under Long Term Incentive Plan (LTIP) convertible to common stock on a one-for-one basis upon satisfaction of all applicable vesting conditions. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SCHIPPERS HARRIE 777 - 106TH AVE. N.E. BELLEVUE, WA 98004 |
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| PRESIDENT & CFO |
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Signatures
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/s/ Harrie Schippers | | 11/5/2021 |
**Signature of Reporting Person | Date |
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