0001062993-22-004219.txt : 20220214 0001062993-22-004219.hdr.sgml : 20220214 20220214154614 ACCESSION NUMBER: 0001062993-22-004219 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Koller Therese A. CENTRAL INDEX KEY: 0001701081 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38054 FILM NUMBER: 22630804 MAIL ADDRESS: STREET 1: 3101 SOUTH PACKERLAND DRIVE CITY: GREEN BAY STATE: WI ZIP: 54313 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Schneider National, Inc. CENTRAL INDEX KEY: 0001692063 STANDARD INDUSTRIAL CLASSIFICATION: TRUCKING (NO LOCAL) [4213] IRS NUMBER: 391258315 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3101 SOUTH PACKERLAND DRIVE CITY: GREEN BAY STATE: WI ZIP: 54313 BUSINESS PHONE: 920-592-2000 MAIL ADDRESS: STREET 1: 3101 SOUTH PACKERLAND DRIVE CITY: GREEN BAY STATE: WI ZIP: 54313 5 1 form5.xml ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP X0306 5 2020-12-31 0 1 0001692063 Schneider National, Inc. SNDR 0001701081 Koller Therese A. 3101 SOUTH PACKERLAND DRIVE GREEN BAY WI 54313 1 0 1 0 Class B Common Stock 2021-07-14 4 G 0 75000 A 1639590 D Class B Common Stock 2021-12-30 4 G 0 13304 A 1652894 D Class B Common Stock 2021-07-14 4 G 0 75000 D 0 I By Spouse Class B Common Stock 2025689 I By Trusts Class A Common Stock Class B Common Stock 16605900 16605900 I See Footnote 2. Transaction is a gift, therefore price is not applicable. The reporting person's interest in the Class A Common Stock is represented by trust certificates issued by the Schneider National, Inc. Voting Trust and held by the reporting person. Each share of Class A Common Stock will automatically convert into a share of Class B Common Stock on a one-for-one basis upon any transfer of such share of Class A Common Stock in exchange for a trust certificate representing such share, and has no expiration date. Dennis F. Connolly P.O.A. 2022-02-14