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