SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED 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 APPROVAL |
| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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|
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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*
| C/O EXXON MOBIL CORPORATION |
| 5959 LAS COLINAS BOULEVARD |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
EXXON MOBIL CORP
[ 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 and Treasurer |
|
3. Date of Earliest Transaction
(Month/Day/Year)
11/30/2011
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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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 |
|---|
| 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)
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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 |
V |
Amount |
(A) or (D) |
Price |
| Common Stock |
11/30/2011 |
|
F |
|
1,077 |
D |
$74.925
|
68,332 |
D |
|
| Common Stock |
11/30/2011 |
|
A |
|
19,300 |
A |
$0
|
87,632
|
D |
|
| Common Stock |
|
|
|
|
|
|
|
320.6406 |
I |
As Trustee for Child 1 |
| Common Stock |
|
|
|
|
|
|
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298.4341 |
I |
As Trustee for Child 2 |
| Common Stock |
|
|
|
|
|
|
|
16,076.1665 |
I |
By Savings Plan |
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)
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2. Conversion or Exercise Price of Derivative Security
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3. 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)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
|
| Remarks: |
|
|
/s/ Jerry D. Miller by Power of Attorney |
12/02/2011 |
|
** 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
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. |
POWER OF ATTORNEY
The undersigned, Robert N. Schleckser, constitutes and appoints
M. K. Ivey, R. A. Luettgen, and J. D. Miller, and each of them,
as his or her true and lawful attorneys-in-fact and agents, with
full power of substitution and resubstitution, for him or her
and in his or her name, place and stead, in any and all capacities,
to sign any and all forms of report with respect to securities of
Exxon Mobil Corporation ("ExxonMobil") required under Section 16(a)
of the Securities Exchange Act of 1934, as amended, and to file
the same, and any other documents in connection therewith, with
the Securities and Exchange Commission, any stock exchange and
ExxonMobil, granting unto said attorneys-in-fact and agents,
and each of them, full power and authority to do and perform
each and every act and thing requisite and necessary to be done,
as fully for all intents and purposes as he or she might or
could do in person, hereby ratifying and confirming all that
said attorneys-in-fact and agents or any of them or their or his
or her substitute or substitutes, may lawfully do or cause to
be done by virtue hereof.
This power of attorney shall remain in effect until the undersigned
is no longer required to file forms of report with respect to
securities of ExxonMobil under Section 16(a) of the Securities
Exchange Act of 1934, as amended, unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing
attorneys-in-fact. Effective as of the date of this power of
attorney, the undersigned hereby revokes any and all earlier-dated
powers of attorney given by the undersigned with respect to
ExxonMobil securities reporting under said Section 16(a).
IN WITNESS WHEREOF, the undersigned has executed this power of
attorney as of the date set forth below.
4/22/2011 /s/ Robert N. Schleckser
Date Robert N. Schleckser
Dallas, TX
Location
