0000899243-23-001528.txt : 20230110 0000899243-23-001528.hdr.sgml : 20230110 20230110192609 ACCESSION NUMBER: 0000899243-23-001528 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221127 FILED AS OF DATE: 20230110 DATE AS OF CHANGE: 20230110 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: 23522306 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: 1127 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 2022-11-27 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 2022-04-08 5 J 0 1158616 0.00 D Class A Common Stock 3074354 I By grantor-retained annuity trust Class B Common Stock 2022-04-08 5 J 0 1158616 0.00 A Class A Common Stock 40684908 D Class B Common Stock 2022-11-22 5 J 0 400000 0.00 D Class A Common Stock 2674354 I By grantor-retained annuity trust Class B Common Stock 2022-11-22 5 J 0 400000 0.00 A Class A Common Stock 41084908 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. Shares reflect distributions from a grantor retained annuity trust for the benefit of the reporting person and the remainder beneficiaries. /s/ Minna Baughman, Attorney-in-Fact 2023-01-10