Statement of Changes in Beneficial Ownership (4)
December 18 2019 - 4:44PM
Edgar (US Regulatory)
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 OF SECURITIES
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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
*
Ebner Randall M |
2. Issuer Name and Ticker or Trading Symbol
EXXON MOBIL CORP
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XOM
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Vice President & Gen. Counsel |
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(Last)
(First)
(Middle)
C/O EXXON MOBIL CORPORATION, 5959 LAS COLINAS BOULEVARD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/18/2019 |
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(Street)
IRVING, TX 75039-2298
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | | | | | | | | 1142 | I | By Trust for dependent child 2 |
| Common Stock | | | | | | | | 278226.277 (1) | D | |
| Common Stock | | | | | | | | 1142 | I | By Trust for dependent child 1 |
| Common Stock | | | | | | | | 1685 (2) | I | By Spouse's GRAT |
| Common Stock | | | | | | | | 112 | I | By Spouse - IRA |
| Common Stock | | | | | | | | 1685 (2) | I | By GRAT |
| Common Stock | | | | | | | | 56648.5891 | I | By Savings Plan |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 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 |
| Explanation of Responses: |
| (1) | Direct shareholdings include 123 shares in joint ownership with reporting person's spouse. Also includes transfer of 2,400 shares previously held indirectly by GRAT and 2,400 shares previously held indirectly by spouse's GRAT. |
| (2) | Reflects 2,400 shares transferred to direct shareholdings. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Ebner Randall M
C/O EXXON MOBIL CORPORATION
5959 LAS COLINAS BOULEVARD
IRVING, TX 75039-2298 |
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| Vice President & Gen. Counsel |
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Signatures
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| /s/ Randall M. Ebner | | 12/18/2019 |
| **Signature of Reporting Person | Date |
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