UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Unit Options | Â (2) | 06/29/2022 | Class A Common Stock | 25,000 | $ 12.55 | D | Â |
Employee Stock Options (right to buy) | Â (3) | 12/12/2022 | Class A Common Stock | 30,000 | $ 26 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Davis Paul T ONE SYLVAN WAY SECOND FLOOR PARSIPPANY, NJ 07054 |
 |  |  Vice President |  |
/s/T. Paul Davis by Jeffrey Dill as Attorney-in-Fact | 05/22/2013 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Represents number of shares of Class A Common Stock acquired under PBF Energy Inc.'s 401(k) Plan as of May 13, 2013 per Vanguard records. |
(2) | Represents options to purchase Series A Units of PBF Energy Company LLC. The options vest in three equal annual installments beginning on June 29, 2013. Pursuant to an exchange agreement the vested 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. issued in connection with the Series A Units of PBF Energy Company LLC will be automatically and correspondingly reduced. The Class B Common Stock will entitle the reporting person to one vote for each Series A Unit of PBF Energy Company LLC held by such reporting person. |
(3) | Represents options to purchase shares of Class A Common Stock. The options will vest in four equal annual installments beginning on 12/12/2013. |