SEC FORM 3 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*
Wright Michael H. Jr.

(Last) (First) (Middle)
C/O CVR ENERGY, INC.
2277 PLAZA DRIVE, SUITE 500

(Street)
SUGAR LAND TX 77479

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/26/2022
3. Issuer Name and Ticker or Trading Symbol
CVR ENERGY INC [ CVI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP & Chief Operating Officer
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)
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
Incentive Units(1) (1) (2) Common Stock 753 0.0(3) D
Incentive Units(4) (4) (2) Common Stock 1,222 0.0(3) D
Incentive Units(5) (5) (2) Common Stock 10,733 0.0(3) D
Incentive Units(6) (6) (2) Common Stock 9,235 0.0(3) D
Explanation of Responses:
1. The Incentive Units were awarded to the reporting person by CVR Energy, Inc. in connection with his hire, on August 21, 2019. These Incentive Units vest ratably in annual installments in August of each of the three years following the grant date, subject to the terms and conditions of the award agreement.
2. The Incentive Units expire immediately upon vest.
3. Each Incentive Unit reported herein represents the right to receive upon vesting, a cash payment equal to the average closing price of a share of CVR Energy, Inc. common stock for the 10 trading days preceding the vest date.
4. The Incentive Units were awarded to the reporting person by CVR Energy, Inc. as compensation for services, on December 13, 2019. These Incentive Units vest ratably in annual installments in December of each of the three years following the grant date, subject to the terms and conditions of the award agreement.
5. The Incentive Units were awarded to the reporting person by CVR Energy, Inc. as compensation for services, on December 9, 2020. These Incentive Units vest ratably in annual installments in December of each of the three years following the grant date, subject to the terms and conditions of the award agreement.
6. The Incentive Units were awarded to the reporting person by CVR Energy, Inc. as compensation for services, on December 8, 2021. These Incentive Units vest ratably in annual installments in December of each of the three years following the grant date, subject to the terms and conditions of the award agreement.
Remarks:
/s/ Michael H. Wright, Jr. 02/04/2022
** 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 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.