0001127602-21-009684.txt : 20210308 0001127602-21-009684.hdr.sgml : 20210308 20210308162735 ACCESSION NUMBER: 0001127602-21-009684 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210305 FILED AS OF DATE: 20210308 DATE AS OF CHANGE: 20210308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baxter Scott H CENTRAL INDEX KEY: 0001509765 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38854 FILM NUMBER: 21722308 MAIL ADDRESS: STREET 1: 400 NORTH ELM STREET CITY: GREENSBORO STATE: NC ZIP: 27401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kontoor Brands, Inc. CENTRAL INDEX KEY: 0001760965 STANDARD INDUSTRIAL CLASSIFICATION: MEN'S & BOYS' FURNISHINGS, WORK CLOTHING, AND ALLIED GARMENTS [2320] IRS NUMBER: 832680248 STATE OF INCORPORATION: NC FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 400 N. ELM STREET CITY: GREENSBORO STATE: NC ZIP: 27401 BUSINESS PHONE: (336) 332-3400 MAIL ADDRESS: STREET 1: 400 N. ELM STREET CITY: GREENSBORO STATE: NC ZIP: 27401 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-03-05 0001760965 Kontoor Brands, Inc. KTB 0001509765 Baxter Scott H 400 N. ELM STREET GREENSBORO NC 27401 1 1 President and CEO Common Stock 2021-03-05 4 J 0 74087.214 50.30 A 185708.626 D Common Stock 380 I By Son As previously reported on August 17, 2020, the reporting person contributed 74,087.214 shares to a grantor retained annuity trust. On March 5, 2021, the reporting person withdrew 74,087.214 shares from the grantor retained annuity trust, which he then contributed to a revocable trust, and made a transfer of equivalent consideration to the grantor retained annuity trust in exchange for the withdrawn shares. The reporting person believes that his withdrawal of shares from the trust constitutes only a change in form of beneficial ownership of the shares, exempted by Rule 16a-13 under the Securities Exchange Act of 1934. /s/ Laurel Krueger for Scott H. Baxter (Pursuant to Signing Authority on File) 2021-03-08