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Paccar (PCAR)

Filed: 7 Mar 19, 4:56pm
SEC Form 4
FORM 4UNITED 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
or Section 30(h) of the Investment Company Act of 1940
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OMB Number:3235-0287
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HUBBARD TODD R

(Last)(First)(Middle)
777 106TH AVE NE

(Street)
BELLEVUEWA98004

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
PACCAR INC [ PCAR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director10% Owner
XOfficer (give title below)Other (specify below)
VICE PRESIDENT
3. Date of Earliest Transaction (Month/Day/Year)
03/05/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)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)
CodeVAmount(A) or (D)Price
COMMON STOCK4,405D
COMMON STOCK (SIP)(1)03/05/2019J(2)12.451A$67.792,822.52D
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 Security3. 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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
STOCK OPTION(3)$50.501/01/201402/03/2021COMMON STOCK3,5743,574D
STOCK OPTION(3)$47.8101/01/201602/06/2023COMMON STOCK5,0005,000D
STOCK OPTION(3)$59.1501/01/201702/07/2024COMMON STOCK6,3026,302D
STOCK OPTION(3)$62.4601/01/201802/04/2025COMMON STOCK5,3265,326D
STOCK OPTION(3)$5001/01/201902/04/2026COMMON STOCK8,7388,738D
STOCK OPTION(3)$67.6301/01/202002/07/2027COMMON STOCK6,2006,200D
STOCK OPTION(3)$68.6901/01/202102/07/2028COMMON STOCK5,8865,886D
STOCK OPTION(3)$65.5601/01/202202/06/2029COMMON STOCK9,9369,936D
Explanation of Responses:
1. Shares held in PACCAR Savings Investment Plan (SIP).
2. Dividend on PACCAR Savings Investment Plan (SIP) shares reinvested pursuant to SIP.
3. Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP).
Remarks:
Todd R. Hubbard by Irene E. Song POA03/06/2019
** Signature of Reporting PersonDate
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.