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Paccar (PCAR)

Filed: 7 Mar 19, 5:35pm
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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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*
PIGOTT MARK C

(Last)(First)(Middle)
777 106TH AVENUE 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)
XDirector10% Owner
XOfficer (give title below)Other (specify below)
Executive Chairman
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 STOCK2,886,445D
COMMON STOCK283,280IWIFE AND CHILDREN
COMMON STOCK (SIP)(1)03/05/2019J(2)421.518A$67.7989,670.76(3)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 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(4)$36.1201/01/201302/02/2020COMMON STOCK134,492134,492D
STOCK OPTION(4)$50.501/01/201402/03/2021COMMON STOCK92,83292,832D
STOCK OPTION(4)$43.2401/01/201502/02/2022COMMON STOCK134,084134,084D
STOCK OPTION(4)$47.8101/01/201602/06/2023COMMON STOCK108,714108,714D
STOCK OPTION(4)$59.1501/01/201702/07/2024COMMON STOCK85,61885,618D
COMMON STOCK (LTIP)(5)(5)03/05/2019J(6)219.341(5)(5)COMMON STOCK219.341$67.7946,685.322D
COMMON STOCK (DICP)(7)(7)03/05/2019J(8)546.652(7)(7)COMMON STOCK546.652$67.79116,351.48D
COMMON STOCK (DCP)(9)(9)03/05/2019J(10)167.123(9)(9)COMMON STOCK167.123$67.7935,571.071D
Explanation of Responses:
1. Shares held in PACCAR Savings Investment Plan (SIP).
2. Dividend on SIP shares reinvested pursuant to SIP.
3. Balance includes shares awarded under SIP (Company match) since date of last report in a transaction that was exempt under both Rule 16b-3(d) and Rule 16b-3 (c).
4. Option to buy awarded under PACCAR Long Term Incentive Plan (LTIP).
5. Share units held in deferred phantom stock account under LTIP convertible to common stock on a one for one basis upon satisfaction of all applicable conditions.
6. Dividend on share units held in deferred phantom stock account under LTIP reinvested pursuant to LTIP.
7. Share units held in deferred phantom stock account under PACCAR Deferred Incentive Compensation Plan (DICP) convertible to common stock on a one for one basis upon satisfaction of all applicable conditions.
8. Dividend on share units held in deferred phantom stock account under DICP reinvested pursuant to DICP.
9. Share units held in deferred phantom stock account under PACCAR Deferred Compensation Plan (DCP) convertible to common stock on a one for one basis upon satisfaction of all applicable conditions
10. Dividend on share units held in deferred phantom stock account under DCP reinvested pursuant to DCP.
Remarks:
Mark C. Pigott 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.
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