| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |
OMB APPROVAL
OMB Number: 3235-0287 Expires: January 31, 2005 |
| [ ] | Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
Estimated average burden hours per response.... 0.5 |
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(Print or Type Responses)
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| 1. | Name and Address of Reporting Person* | 2. | Issuer Name and Ticker or Trading Symbol | 6. | Relationship of Reporting Person(s) to Issuer | |||
| (Check all applicable) | ||||||||
| Occidental Petroleum Corporation | Premcor Inc. | |||||||
| PCO | Director | X 10% Owner | ||||||
| (Last) (First) (Middle) | Officer (give title | Other (specify | ||||||
| Occidental Petroleum Corporation | 3. | I.R.S. Identification Number | 4. | Statement for Month/Day/Year | below) | below) | ||
| 10889 Wilshire Boulevard | of Reporting Person, if an | |||||||
| entity (voluntary) | 01/23/2003 | |||||||
| (Street) | ||||||||
| 5. | If Amendment, Date of Original | |||||||
| Los Angeles, California 90024 | 95-4035997 | (Month/Year) | ||||||
| 7. | Individual or Joint/Group Filing (Check Applicable Line) | |||||||
| (City) (State) (Zip) | Form filed by One Reporting Person | |||||||
| X 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 | 2. | Transaction | 2a. | Deemed | 3. | Transaction Code | 4. | Securities Acquired (A) or | 5. | Amount of | 6. | Ownership | 7. | Nature of | |||
| (Instr. 3) | Date | Execution | Disposed of (D) | Securities | Form: | Indirect | ||||||||||||
| Date, if any | (Instr. 8) | Beneficially | Direct (D) or | Beneficial | ||||||||||||||
| (Month/Day/ | (Instr. 3, 4 and 5) | Owned at End | Indirect (I) | Ownership | ||||||||||||||
| Year) | (Month/Day/ | of Month | ||||||||||||||||
| Year) | Code | V | Amount | (A) or (D) | Price | (Instr. 3 and 4) | (Instr. 4) | (Instr. 4) | ||||||||||
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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). |
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Page 1 of 7
FORM 4 (continued)
Table II - Derivative Securities Acquired,
Disposed of, or Beneficially Owned
| 1. | Title of Derivative | 2. | Conver- | 3. | Trans- | 3a. | Deemed | 4. | Transac- | 5. | Number of Deriv- | 6. | Date Exer- | 7. | Title and Amount of | 8. | Price | 9. | Number | 10. | Owner- | 11. | Na- | ||||
| Security | sion or | action | Execu- | tion Code | ative Securities | cisable and Ex- | Underlying | of | of Der- | ship | ture | ||||||||||||||||
| (Instr. 3) | Exercise | Date | tion | (Instr. 8) | Acquired (A) or | piration Date | Securities | Deriv- | ivative | Form | of In- | ||||||||||||||||
| Price of | Date, | Disposed of (D) | (Month/Day/ | (Instr. 3 and 4) | ative | Secur- | of De- | direct | |||||||||||||||||||
| Deriv- | (Month/ | if any | (Instr. 3, 4 and 5) | Year) | Secur- | ities | rivative | Bene- | |||||||||||||||||||
| ative | Day/ | ity | Bene- | Secur- | ficial | ||||||||||||||||||||||
| Security | Year) | (Month/ | ficially | ity: | Own- | ||||||||||||||||||||||
| Day/ | (Instr. | Owned | Direct | ership | |||||||||||||||||||||||
| Year) | Date | Expira- | Amount or | 5) | at End | (D) or | (Instr. 4) | ||||||||||||||||||||
| Code | V | (A) | (D) | Exer- | tion | Title | Number of | of | Indi- | ||||||||||||||||||
| cisable | Date | Shares | Month | rect (I) | |||||||||||||||||||||||
| (Instr. 4) | (Instr. 4) | ||||||||||||||||||||||||||
| Stock option (right to buy) | $20.00 | 01/23/03 | A (1) | 2,500 | (2) | 01/24/2013 | Common Stock | 2,500 | 2,500 | I | (3) | ||||||||||||||||
| Explanation of Responses: | |||||||||||||||||||||||||||
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(1) The option was granted pursuant to the Premcor Inc. Outside Director Compensation Program to Occidental C.O.B. Partners in lieu of its designee on the Premcor Board of Directors. (2) The option vests in five equal annual installments beginning on January 23, 2004. (3) Owned by Occidental C.O.B. Partners, an indirect wholly-owned subsidiary of Occidental Petroleum Corporation. |
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| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. | OCCIDENTAL PETROLEUM CORPORATION | ||||||
| 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. | By: | /s/ J. R. HAVERT | January 27, 2003 | ||||
| If space is insufficient, see Instruction 6 for procedure. | ||||||||
| **Signature of Reporting Person | Date | |||||||
| Potential persons who are to respond to the collection of information contained in this form are not | Name: | J. R. Havert | ||||||
| required to respond unless the form displays a currently valid OMB control number. | Title: | Vice President and Treasurer | ||||||
Page 2 of 7
JOINT FILER INFORMATION
| Name: | Occidental C.O.B. Partners | ||
| Address: |
110 West 7th Street
P.O. Box 300 Tulsa, Oklahoma 74102 |
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| Designated Filer: | Occidental Petroleum Corporation | ||
| Issuer & Ticker Symbol: | Premcor Inc. (PCO) | ||
| Date of Event Requiring Statement: | 01/23/2003 | ||
| Signature: |
OCCIDENTAL C.O.B. PARTNERS
by OXY USA Inc., its managing partner |
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| By: |
/s/ J. R. HAVERT
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| J. R. Havert
Vice President and Treasurer |
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Page 3 of 7
JOINT FILER INFORMATION
| Name: | Placid Oil Company | ||
| Address: |
10889 Wilshire Boulevard
Los Angeles, California 90024 |
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| Designated Filer: | Occidental Petroleum Corporation | ||
| Issuer & Ticker Symbol: | Premcor Inc. (PCO) | ||
| Date of Event Requiring Statement: | 01/23/2003 | ||
| Signature: | PLACID OIL COMPANY | ||
| By: |
/s/ J. R. HAVERT
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| J. R. Havert
Vice President and Treasurer |
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Page 4 of 7
JOINT FILER INFORMATION
| Name: | OXY USA Inc. | ||
| Address: |
5 Greenway Plaza
Houston, Texas 77046 |
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| Designated Filer: | Occidental Petroleum Corporation | ||
| Issuer & Ticker Symbol: | Premcor Inc. (PCO) | ||
| Date of Event Requiring Statement: | 01/23/2003 | ||
| Signature: | OXY USA INC. | ||
| By: |
/s/ J. R. HAVERT
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| J. R. Havert
Vice President and Treasurer |
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Page 5 of 7
JOINT FILER INFORMATION
| Name: | Occidental Oil and Gas Holding Corporation | ||
| Address: |
10889 Wilshire Boulevard
Los Angeles, California 90024 |
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| Designated Filer: | Occidental Petroleum Corporation | ||
| Issuer & Ticker Symbol: | Premcor Inc. (PCO) | ||
| Date of Event Requiring Statement: | 01/23/2003 | ||
| Signature: | OCCIDENTAL OIL AND GAS HOLDING CORPORATION | ||
| By: |
/s/ J. R. HAVERT
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| J. R. Havert
Vice President and Treasurer |
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Page 6 of 7
JOINT FILER INFORMATION
| Name: | Occidental Petroleum Investment Co. | ||
| Address: |
10889 Wilshire Boulevard
Los Angeles, California 90024 |
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| Designated Filer: | Occidental Petroleum Corporation | ||
| Issuer & Ticker Symbol: | Premcor Inc. (PCO) | ||
| Date of Event Requiring Statement: | 01/23/2003 | ||
| Signature: | OCCIDENTAL PETROLEUM INVESTMENT CO. | ||
| By: |
/s/ J. R. HAVERT
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| J. R. Havert
Vice President and Treasurer |
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Page 7 of 7