Sec Form 4 Filing - Holmes Donald Norman @ Delek US Holdings, Inc. - 2017-09-15

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
Holmes Donald Norman
2. Issuer Name and Ticker or Trading Symbol
Delek US Holdings, Inc. [ DK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Executive Vice President (DK)
(Last) (First) (Middle)
7102 COMMERCE WAY
3. Date of Earliest Transaction (MM/DD/YY)
09/15/2017
(Street)
BRENTWOOD, TN37027
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 09/15/2017 M 1,500 ( 1 ) A $ 10.65 30,989 D
Common Stock 09/15/2017 D 637 ( 2 ) D $ 25.08 30,352 D
Common Stock 09/15/2017 F 237 ( 3 ) D $ 25.08 30,115 D
Common Stock 09/15/2017 S 626 ( 1 ) D $ 25.08 29,489 D
Common Stock 09/15/2017 M 1,500 ( 4 ) A $ 16.21 30,989 D
Common Stock 09/15/2017 D 959 ( 2 ) D $ 25.37 30,030 D
Common Stock 09/15/2017 F 149 ( 3 ) D $ 25.37 29,881 D
Common Stock 09/15/2017 S 392 ( 4 ) D $ 25.37 29,489 D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Appreciation Right $ 10.65 09/15/2017 M 1,500 ( 5 ) 12/10/2021 Common Stock 1,500 $ 0 1,000 D
Stock Appreciation Right $ 16.21 09/15/2017 M 1,500 ( 6 ) 06/10/2022 Common Stock 1,500 $ 0 1,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Holmes Donald Norman
7102 COMMERCE WAY
BRENTWOOD, TN37027
Executive Vice President (DK)
Signatures
/s/ Donald L. Holmes 09/18/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The reported 626 shares of Common Stock sold on September 15, 2017 were acquired upon exercise of a stock appreciation right on the same date.
( 2 )Disposition of shares of Common Stock to Delek US Holdings, Inc. for payment of the exercise price in connection with the exercise of the stock appreciation right.
( 3 )Shares withheld to cover the tax withholding obligation in connection with the exercise of the stock appreciation right.
( 4 )The reported 392 shares of Common Stock sold on September 15, 2017 were acquired upon exercise of a stock appreciation right on the same date.
( 5 )The stock appreciation right vested with respect to 8,125 shares on each of December 10, 2012, 2013, 2014 and 2015.
( 6 )The stock appreciation right vested with respect to 6,500 shares on each of June 10, 2013, 2014, 2015 and 2016.

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).

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.