0001209191-19-049354.txt : 20190912
0001209191-19-049354.hdr.sgml : 20190912
20190912171648
ACCESSION NUMBER: 0001209191-19-049354
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190911
FILED AS OF DATE: 20190912
DATE AS OF CHANGE: 20190912
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cortes Fernando
CENTRAL INDEX KEY: 0001741121
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33829
FILM NUMBER: 191090996
MAIL ADDRESS:
STREET 1: 5301 LEGACY DRIVE
CITY: PLANO
STATE: TX
ZIP: 75070
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Keurig Dr Pepper Inc.
CENTRAL INDEX KEY: 0001418135
STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080]
IRS NUMBER: 753258232
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 53 SOUTH AVENUE
CITY: BURLINGTON
STATE: MA
ZIP: 01803
BUSINESS PHONE: 781-418-7000
MAIL ADDRESS:
STREET 1: 53 SOUTH AVENUE
CITY: BURLINGTON
STATE: MA
ZIP: 01803
FORMER COMPANY:
FORMER CONFORMED NAME: Dr Pepper Snapple Group, Inc.
DATE OF NAME CHANGE: 20080108
FORMER COMPANY:
FORMER CONFORMED NAME: CSAB Inc.
DATE OF NAME CHANGE: 20071109
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-09-11
0
0001418135
Keurig Dr Pepper Inc.
KDP
0001741121
Cortes Fernando
5301 LEGACY DRIVE
PLANO
TX
75024
0
1
0
0
Chief Supply Chain Officer
Common Stock
2019-09-11
4
M
0
37538
14.81
A
92999
D
Employee Stock Option (Right to Buy)
14.81
2019-09-11
4
M
0
37538
0.00
D
2026-03-02
Common Stock
37538
0
D
The Reporting Person has elected to exercise and hold the shares at this time.
Pursuant to the Agreement and Plan of Merger, dated January 29, 2018, ("Agreement"), between Maple Parent Holdings Corp., ("Maple"), Dr Pepper Snapple Group, Inc. ("DPS") and Salt Merger Sub, Inc., ("SMS"), SMS merged on July 9, 2018 into Maple (the "Merger"), with Maple surviving the Merger as a wholly-owned subsidiary of DPS. DPS was renamed Keurig Dr Pepper Inc.("KDP"). The Reporting Person elected to have each issued and outstanding DPS stock option converted into KDP stock options at the effective time of the Merger.
The shares subject to the option are fully vested and exercisable.
/s/ Kristin E. Blazewicz, attorney in fact
2019-09-12