Chevron Form 3 / DAVID A INCHAUSTI 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^*

INCHAUSTI DAVID A

(Last)

(First)

(Middle)

6001 BOLLINGER CANYON ROAD

(Street)

SAN RAMON

94583

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
06/16/2019

3. Issuer Name and Ticker or Trading Symbol
CHEVRON CORP [ CVX ]

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

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Vice Pres. and Comptroller

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	4,470⁽¹⁾	I	by 401(k) plan
Common Stock	5,750	I	by Spouse

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Non-Qualified Stock Option (Right to Buy)	⁽²⁾	01/26/2021	Common Stock	7,200	94.64	D
Non-Qualified Stock Option (Right to Buy)	⁽³⁾	01/25/2022	Common Stock	5,600	107.73	D
Non-Qualified Stock Option (Right to Buy)	⁽⁴⁾	01/30/2023	Common Stock	5,600	116.45	D
Non-Qualified Stock Option (Right to Buy)	⁽⁵⁾	01/29/2024	Common Stock	4,700	116	D
Non-Qualified Stock Option (Right to Buy)	⁽⁶⁾	01/28/2025	Common Stock	9,500	103.71	D
Non-Qualified Stock Option (Right to Buy)	⁽⁷⁾	01/27/2026	Common Stock	22,200	83.29	D
Non-Qualified Stock Option (Right to Buy)	⁽⁸⁾	01/25/2027	Common Stock	5,800	117.24	D
Non-Qualified Stock Option (Right to Buy)	⁽⁹⁾	01/31/2028	Common Stock	5,000	125.35	D
Non-Qualified Stock Option (Right to Buy)	⁽¹⁰⁾	01/30/2029	Common Stock	6,000	113.01	D
Phantom Stock Units	⁽¹¹⁾	⁽¹¹⁾	Common Stock	417	⁽¹¹⁾	I	Excess Benefit Plan
Restricted Stock Units	⁽¹²⁾	⁽¹²⁾	Common Stock	824	⁽¹²⁾	D
Restricted Stock Units	⁽¹³⁾	⁽¹³⁾	Common Stock	772	⁽¹³⁾	D
Restricted Stock Units	⁽¹⁴⁾	⁽¹⁴⁾	Common Stock	1,238	⁽¹⁴⁾	D
Restricted Stock Units	⁽¹⁵⁾	⁽¹⁵⁾	Common Stock	846	⁽¹⁵⁾	D
Restricted Stock Units	⁽¹⁶⁾	⁽¹⁶⁾	Common Stock	1,355	⁽¹⁶⁾	D
Non-Qualified Stock Option (Right to Buy)	⁽³⁾	01/25/2022	Common Stock	3,200	107.73	I	by Spouse
Non-Qualified Stock Option (Right to Buy)	⁽⁴⁾	01/30/2023	Common Stock	3,200	116.45	I	by Spouse
Non-Qualified Stock Option (Right to Buy)	⁽⁵⁾	01/29/2024	Common Stock	2,600	116	I	by Spouse
Non-Qualified Stock Option (Right to Buy)	⁽⁶⁾	01/28/2025	Common Stock	5,000	103.71	I	by Spouse
Non-Qualified Stock Option (Right to Buy)	⁽⁷⁾	01/27/2026	Common Stock	7,400	83.29	I	by Spouse
Non-Qualified Stock Option (Right to Buy)	⁽¹⁷⁾	01/25/2027	Common Stock	1,200	117.24	I	by Spouse
Restricted Stock Units	⁽¹²⁾	⁽¹²⁾	Common Stock	159	⁽¹²⁾	I	by Spouse

Explanation of Responses:

1. This number represents the reporting person's shares of Chevron Corporation common stock under the Chevron Corporation Employee Savings and Investment Plan, a 401(k) plan.

2. Option granted 1/26/2011. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.

3. Option granted 1/25/2012. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.

4. Option granted 1/30/2013. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.

5. Option granted 1/29/2014. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.

6. Option granted 1/28/2015. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.

7. Option granted 1/27/2016. One-third of the shares subject to the option vested on each of the first, second and third anniversaries of the date of grant.

8. Option granted 1/25/2017. One-third of the shares subject to the option vested on January 31, 2018, and one-third of the shares vested on January 31, 2019. The balance of the shares vests on January 31, 2020.

9. Option granted 1/31/2018. One-third of the shares subject to the option vested on January 31, 2019, and one-third of the shares subject to the option will vest on January 31, 2020 and January 31, 2021, respectively.

10. Option granted 1/30/2019. One-third of the shares subject to the option vest on January 31, 2020, January 31, 2021 and January 31, 2022, respectively.

11. Each phantom stock unit is the economic equivalent of one share of Chevron Corporation common stock. The phantom stock units, which are issued under the Chevron ESIP-RP, are payable in cash upon the reporting person's retirement or other termination of service.

12. Restricted stock units granted on 1/25/2017 under the Chevron Corporation Long-Term Incentive Plan. Each restricted stock unit is the economic equivalent of one share of Chevron Corporation common stock. Restricted stock units accrue dividend equivalents in the form of additional restricted stock units and are payable in cash upon vesting on January 31, 2022.

13. Restricted stock units granted on 1/31/2018 under the Chevron Corporation Long-Term Incentive Plan. Each restricted stock unit is the economic equivalent of one share of Chevron Corporation common stock. Restricted stock units accrue dividend equivalents in the form of additional restricted stock units and are payable in cash upon vesting on January 31, 2023.

14. Restricted stock units granted on 1/31/2018 under the Chevron Corporation Long-Term Incentive Plan. Each restricted stock unit is the economic equivalent of one share of Chevron Corporation common stock. Restricted stock units accrue dividend equivalents in the form of additional restricted stock units and are payable in cash upon vesting on January 31, 2021.

15. Restricted stock units granted on 1/30/2019 under the Chevron Corporation Long-Term Incentive Plan. Each restricted stock unit is the economic equivalent of one share of Chevron Corporation common stock. Restricted stock units accrue dividend equivalents in the form of additional restricted stock units and are payable in cash upon vesting on January 31, 2024.

16. Restricted stock units granted on 1/30/2019 under the Chevron Corporation Long-Term Incentive Plan. Each restricted stock unit is the economic equivalent of one share of Chevron Corporation common stock. Restricted stock units accrue dividend equivalents in the form of additional restricted stock units and are payable in cash upon vesting on January 31, 2022.

17. Option granted 1/25/2017. One-third of the shares subject to the option vested on January 31, 2018 and the remaining shares vested on September 6, 2018, the date of spouse's retirement.

Remarks:

Exhibit List: Exhibit 24 - Power of Attorney

	/s/ Christine L. Cavallo, Attorney-in-Fact for David A. Inchausti	06/21/2019
	** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.

Chevron (CVX) Form 3CHEVRON / DAVID A INCHAUSTI ownership change