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*
Pruitt Joseph Scott

(Last) (First) (Middle)
2331 CITYWEST BLVD.

(Street)
HOUSTON TX 77042

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/04/2021
3. Issuer Name and Ticker or Trading Symbol
Phillips 66 [ PSX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President and Controller
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)
Common Stock 18,831(1) D
Common Stock 3,826.246 I By Phillips 66 Savings Plan
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
Employee Stock Option (Right to Buy) (2) 02/07/2027 Common Stock 1,200 $78.475 D
Employee Stock Option (Right to Buy) (2) 02/06/2028 Common Stock 3,000 $94.85 D
Employee Stock Option (Right to Buy) (3) 02/05/2029 Common Stock 3,700 $94.9675 D
Employee Stock Option (Right to Buy) (4) 02/04/2030 Common Stock 4,200 $89.57 D
Employee Stock Option (Right to Buy) (5) 02/09/2031 Common Stock 9,000 $74.7 D
Explanation of Responses:
1. Includes 7,449 Restricted Stock Units (RSUs) that settle for shares of Phillips 66 common stock on a 1-for-1 basis on the third anniversary of the date of grant and 10,040 RSUs that settle on the second anniversary of the date of grant.
2. The stock options are fully vested and exercisable.
3. The stock options are currently exercisable with respect to 2,466 shares of common stock. The remaining stock options vest February 5, 2022.
4. The stock options are currently exercisable with respect to 1,400 shares of common stock. The remaining stock options vest in two equal installments beginning on February 4, 2022.
5. The stock options become exercisable in three equal annual installments beginning on February 9, 2022.
Remarks:
Amanda K. Maki, Attorney-in-Fact 08/05/2021
** 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.
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