Statement of Changes in Beneficial Ownership (4)
May 12 2021 - 4:55PM
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
*
HERNANDEZ ENRIQUE JR |
2. Issuer Name and Ticker or Trading Symbol
CHEVRON CORP
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CVX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
INTER-CON SECURITY SYSTEMS, INC., 210 SOUTH DE LACEY AVENUE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/10/2021 |
(Street)
PASADENA, CA 91105
(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 | 5/10/2021 | | M | | 5101 | A | $103.25 | 24914 (1) | D | |
Common Stock | 5/10/2021 | | S | | 5101 | D | $110.7891 | 19813 | D | |
Common Stock | | | | | | | | 18119 | I | by Hernandez Family Trust |
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 |
Non-Qualified Stock Option (Right to Buy) | $103.25 | 5/10/2021 | | M | | | 5101 | 5/25/2012 (2) | 5/25/2021 | Common Stock | 5101 | $0 | 0 | D | |
Explanation of Responses: |
(1) | This number includes the acquisition of dividend equivalent accruals on stock units (1,025) issued under the Chevron Corporation Non-Employee Directors' Equity Compensation and Deferral Plan. |
(2) | Option granted May 25, 2011. Fifty percent of the shares subject to the option vested on November 25, 2011 and May 25, 2012. The option became exercisable on May 25, 2012. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
HERNANDEZ ENRIQUE JR INTER-CON SECURITY SYSTEMS, INC. 210 SOUTH DE LACEY AVENUE PASADENA, CA 91105 | X |
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Signatures
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/s/ Christine L. Cavallo, Attorney-in-Fact for Enrique Hernandez, Jr. | | 5/12/2021 |
**Signature of Reporting Person | Date |
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