0001209191-23-015502.txt : 20230303
0001209191-23-015502.hdr.sgml : 20230303
20230303162728
ACCESSION NUMBER: 0001209191-23-015502
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230301
FILED AS OF DATE: 20230303
DATE AS OF CHANGE: 20230303
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Call Michael Andrew
CENTRAL INDEX KEY: 0001880601
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33829
FILM NUMBER: 23704497
MAIL ADDRESS:
STREET 1: 905 WEST FULTON MARKET
STREET 2: SUITE 200
CITY: CHICAGO
STATE: IL
ZIP: 60607
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
2023-03-01
0
0001418135
Keurig Dr Pepper Inc.
KDP
0001880601
Call Michael Andrew
53 SOUTH AVENUE
BURLINGTON
MA
01803
1
0
0
0
Restricted Stock Unit
2023-03-01
4
A
0
4826
0.00
A
Common Stock
4826
4826
D
Subject to certain vesting conditions and exceptions, these restricted stock units vest on March 1, 2028. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting.
The Reporting Person is an officer of Mondelez International, Inc. (Mondelez International) and as of the date of the grant, served on the Board of Directors of the Issuer as a nominee of Mondelez International, a stockholder of the Issuer. The Reporting Person has agreed that he will not receive any separate compensation for serving on the Board of Directors of the Issuer and will transfer to Mondelez International any director compensation he receives from the Issuer, including any awards made pursuant grants of restricted stock units. The Reporting Person disclaims beneficial ownership of such restricted stock units except to the extent of his pecuniary interests therein and this report shall not be deemed that the
Reporting Person is the beneficial owner of such securities for purposes of Section 16 or any other purpose.
/s/ Mark Jackson, attorney in fact
2023-03-03