Cvr Energy Inc - Initial Statement of Beneficial Ownership (3)
23 10월 2007 - 10:52AM
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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3235-0104
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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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1. Name and Address of Reporting Person
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SWANBERG CHRISTOPHER G
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2. Date of Event Requiring Statement (MM/DD/YYYY)
10/22/2007
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3. Issuer Name
and
Ticker or Trading Symbol
CVR ENERGY INC [CVI]
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(Last)
(First)
(Middle)
2277 PLAZA DRIVE, SUITE 500
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
VP, Env., Health & Safety /
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(Street)
SUGAR LAND, TX 77479
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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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)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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0
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I
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See Remarks
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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)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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Remarks:
Coffeyville Acquisition LLC and Coffeyville Acquisition II LLC each own shares of CVR Energy, Inc. (the "Company") common
stock, par value $0.01 per share ("Common Stock"). Mr. Swanberg owns common units equal to 0.010% of the total common units
of each of Coffeyville Acquisition LLC and Coffeyville Acquisition II LLC. Mr. Swanberg also owns 4,326,324 phantom points pursuant
to the Coffeyville Resources, LLC Phantom Unit Appreciation Plan (Plan I) and Coffeyville Resources, LLC Phantom Unit Appreciation
Plan (Plan II). Phantom points constitute rights to a portion of the profits generated by Coffeyville Acquisition LLC and Coffeyville
Acquisition II LLC. The phantom unit appreciation plans are filed as exhibits 10.3 and 10.32 to the Company's Registration Statement
on Form S-1, File No. 333-137588 (the "Registration Statement"). The limited liability company agreements of Coffeyville
Acquisition LLC and Coffeyville Acquisition II LLC are filed as exhibits 10.34 and 10.35, respectively, to the Registration Statement.
Mr.
Swanberg does not have the power to vote or dispose of the shares of Common Stock that correspond to his ownership of common units
in Coffeyville Acquisition LLC and Coffeyville Acquisition II LLC and thus does not have beneficial ownership of such shares. In
addition, Mr. Swanberg does not have any pecuniary interest in the shares of Common Stock held by Coffeyville Acquisition LLC and Coffeyville
Acquisition II LLC (or phantom points) because he does not control either Coffeyville Acquisition LLC or Coffeyville Acquisition
II LLC and does not have or share investment control over either entity's securities.
Exhibit List: Exhibit 24: Power of Attorney
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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SWANBERG CHRISTOPHER G
2277 PLAZA DRIVE
SUITE 500
SUGAR LAND, TX 77479
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VP, Env., Health & Safety
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Signatures
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/s/ Susan M. Ball, Attorney-in-fact
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10/22/2007
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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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CVR Energy (NYSE:CVI)
과거 데이터 주식 차트
부터 6월(6) 2024 으로 7월(7) 2024
CVR Energy (NYSE:CVI)
과거 데이터 주식 차트
부터 7월(7) 2023 으로 7월(7) 2024