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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Delek Hungary Holding LTD Liability CO 7, GIBOREI ISRAEL STREET, P.O.B. 8464 INDUSTRIAL ZONE SOUTH NETANYA, L3 42504 |
X | |||
Delek Group, Ltd. 7, GIBOREI ISRAEL STREET, P.O.B. 8464 INDUSTRIAL ZONE SOUTH NETANYA, L3 42504 |
X | |||
Delek Petroleum, Ltd. 7, GIBOREI ISRAEL STREET, P.O.B. 8464 INDUSTRIAL ZONE SOUTH NETANYA, L3 42504 |
X | |||
Sharon Itshak 7, GIBOREI ISRAEL STREET P.O.B. 8464, INDUSTRIAL ZONE SOUTH NETANYA, L3 42504 |
X |
/s/ Leora Pratt Levin, Attorney-In-Fact | 06/17/2013 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | This Form 4 is filed jointly by Delek Hungary Holding Limited Liability Company ("Delek Hungary"), Delek Petroleum, Ltd. ("Delek Petroleum"), Delek Group, Ltd. ("Delek Group") and Itshak Sharon. On June 13, 2013, Delek Hungary sold 2,000,000 shares of Common Stock of Delek US Holdings, Inc. in a block trade. |
(2) | Represents shares directly owned by Delek Hungary. Delek Hungary is a subsidiary of Delek Petroleum and Delek Group. Mr. Sharon has voting and investment control over Delek Group, the parent company of Delek Petroleum and Delek Hungary, through corporations that he controls. Delek Petroleum, Delek Group and Mr. Sharon disclaim beneficial ownership of these shares except to the extent of their pecuniary interest therein. |