0000899243-20-000703.txt : 20200107 0000899243-20-000703.hdr.sgml : 20200107 20200107153900 ACCESSION NUMBER: 0000899243-20-000703 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191124 FILED AS OF DATE: 20200107 DATE AS OF CHANGE: 20200107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haas Miriam L CENTRAL INDEX KEY: 0001768680 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 20513257 MAIL ADDRESS: STREET 1: C/O LEVI STRAUSS & CO. STREET 2: 1155 BATTERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LEVI STRAUSS & CO CENTRAL INDEX KEY: 0000094845 STANDARD INDUSTRIAL CLASSIFICATION: APPAREL & OTHER FINISHED PRODS OF FABRICS & SIMILAR MATERIAL [2300] IRS NUMBER: 940905160 STATE OF INCORPORATION: DE FISCAL YEAR END: 1125 BUSINESS ADDRESS: STREET 1: 1155 BATTERY ST CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 4155016000 MAIL ADDRESS: STREET 1: 1155 BATTERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2019-11-24 0 0 0 0000094845 LEVI STRAUSS & CO LEVI 0001768680 Haas Miriam L C/O ARGONAUT SECURITIES COMPANY 1155 BATTERY STREET SAN FRANCISCO CA 94111 0 0 1 0 Class B Common Stock 2019-05-03 5 J 0 50050 0.00 D Class A Common Stock 18511530 D Class B Common Stock 2019-05-03 5 J 0 38690 0.00 A Class A Common Stock 38397160 I By grantor retained annuity trusts Class B Common Stock 2019-05-30 5 J 0 6270726 0.00 D Class A Common Stock 32126434 I By grantor retained annuity trusts Class B Common Stock 2019-05-30 5 J 0 4009981 0.00 A Class A Common Stock 22521511 D Class B Common Stock 2019-09-16 5 J 0 8054300 0.00 D Class A Common Stock 24072134 I By grantor retained annuity trusts Class B Common Stock 2019-09-16 5 J 0 7569649 0.00 A Class A Common Stock 30091160 D Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. On May 3, 2019, the reporting person distributed 50,050 shares of Class B Common Stock to several grantor retained annuity trusts for the benefit of herself and the remainder beneficiaries in order to reflect an adjustment in a prior valuation. Shares reflect distributions from several grantor retained annuity trusts for the benefit of the reporting person and the remainder beneficiaries. /s/ Parker Phillips, Attorney-in-Fact 2020-01-07