SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HERNANDEZ ENRIQUE JR

(Last) (First) (Middle)
INTER-CON SECURITY SYSTEMS, INC.
210 SOUTH DE LACEY AVENUE

(Street)
PASADENA CA 91105

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHEVRON CORP [ CVX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/16/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/16/2022 M 12,780 A $103.11 35,758 D
Common Stock 05/16/2022 M 14,335 A $101.77 50,093 D
Common Stock 05/16/2022 M 12,658 A $103.48 62,751 D
Common Stock 05/16/2022 S 39,773 D $173.9871(1) 22,978 D
Common Stock 05/17/2022 M 10,045 A $125.16 33,023 D
Common Stock 05/17/2022 M 11,768 A $116.77 44,791 D
Common Stock 05/17/2022 S 21,813 D $175 22,978 D
Common Stock 10,196 I by Hernandez Family Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 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: 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) $103.11 05/16/2022 M 12,780 05/27/2016(2) 05/27/2025 Common Stock 12,780 $0 0 D
Non-Qualified Stock Option (Right to Buy) $101.77 05/16/2022 M 14,335 05/25/2017(3) 05/25/2026 Common Stock 14,335 $0 0 D
Non-Qualified Stock Option (Right to Buy) $103.48 05/16/2022 M 12,658 05/31/2018(4) 05/31/2027 Common Stock 12,658 $0 0 D
Non-Qualified Stock Option (Right to Buy) $125.16 05/17/2022 M 10,045 05/30/2019(5) 05/30/2028 Common Stock 10,045 $0 0 D
Non-Qualified Stock Option (Right to Buy) $116.77 05/17/2022 M 11,768 05/29/2020(6) 05/29/2029 Common Stock 11,768 $0 0 D
Explanation of Responses:
1. This transaction was executed in multiple trades at prices ranging from $173.86 to $174.15. The price reported above reflects the weighted-average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price within the range provided.
2. Option granted May 27, 2015. Fifty percent of the shares subject to the option vested on November 27, 2015 and May 24, 2016. The option became exercisable on May 27, 2016.
3. Option granted May 25, 2016. Fifty percent of the shares subject to the option vested on November 25, 2016 and May 25, 2017. The option became exercisable on May 25, 2017.
4. Option granted May 31, 2017. Fifty percent of the shares subject to the option vested on November 30, 2017 and May 29, 2018. The option became exercisable on May 31, 2018.
5. Option granted May 30, 2018. Fifty percent of the shares subject to the option vested on November 30, 2018 and May 28, 2019. The option became exercisable on May 30, 2019.
6. Option granted May 29, 2019. Fifty percent of the shares subject to the option vested on November 29, 2019 and May 26, 2020. The option became exercisable on May 29, 2020.
/s/ Rose Z. Pierson, Attorney-in-Fact for Enrique Hernandez, Jr. 05/18/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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