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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 | ||||||||
Non-Qualified Stock Option (Right to Buy) | $ 33.125 (3) | 11/03/2005 | M | 17,800 (3) | 10/30/1997 | 10/30/2006 | Common Stock | 17,800 (3) | (4) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ROBERTSON PETER J 6001 BOLLINGER CANYON ROAD SAN RAMON, CA 94583 |
X | Vice Chairman of the Board |
Christopher A. Butner on behalf of Peter J. Robertson | 11/04/2005 | |
**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 number includes 25,390 shares received from both the September 10, 2004, 2-for-1 stock split of Chevron Corporation Common Stock and dividend equivalent accruals under the Chevron Long-Term Incentive Plan. |
(2) | Between August 26, 2004 and November 3, 2005, the reporting person acquired 21,374 shares of Chevron Corporation Common Stock under the Chevron Employee Savings Investment Plan, a 401(k) plan. This number also includes shares received from the September 10, 2004, 2-for-1 stock split of Chevron Corporation Common Stock. |
(3) | The option exercise price and number of shares are adjusted for the September 10, 2004, 2-for-1 stock split of Chevron Corporation Common Stock. |
(4) | This transaction is an exercise of a Non-Qualified Stock Option and the conversion price is reported in Column 2. |