Jim Yates Form 3 PAR PACIFIC / Jim Yates ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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^*

Yates Jim

(Last) (First) (Middle)

C/O PAR PACIFIC HOLDINGS, INC.

800 GESSNER ROAD, SUITE 875

(Street)

HOUSTON TX 77024

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
05/08/2018

3. Issuer Name and Ticker or Trading Symbol
PAR PACIFIC HOLDINGS, INC. [ PARR ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Senior Vice President

5. 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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common stock	31,510	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock option (right to buy)	(1)	05/07/2023	Common stock	8,625	23.49	D
Stock option (right to buy)	(2)	12/02/2020	Common stock	22,635	23.34	D
Stock option (right to buy)	(3)	02/15/2024	Common stock	9,787	22.99	D
Stock option (right to buy)	(4)	02/27/2025	Common stock	16,439	14.6	D
Stock option (right to buy)	(5)	02/26/2026	Common stock	13,766	17.34	D

Explanation of Responses:

1. One third of the shares will vest on each of the first, second and third anniversaries of the grant date of May 8, 2015.

2. One half of the shares will vest on each of the first and second anniversaries of the grant date of December 3, 2015.

3. One fourth of the shares will vest on each of the first, second, third and fourth anniversaries of the grant date of February 16, 2016.

4. One fourth of the shares will vest on each of the first, second, third and fourth anniversaries of the grant date of February 28, 2017.

5. One fourth of the shares will vest on each of the first, second, third and fourth anniversaries of the grant date of February 27, 2018.

Remarks:

	/s/ Jim Yates	05/15/2018
	** 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 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).
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