0001209191-19-021537.txt : 20190327 0001209191-19-021537.hdr.sgml : 20190327 20190327201835 ACCESSION NUMBER: 0001209191-19-021537 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190325 FILED AS OF DATE: 20190327 DATE AS OF CHANGE: 20190327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haas Margaret E. CENTRAL INDEX KEY: 0001771089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 19709649 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-03-25 0 0000094845 LEVI STRAUSS & CO LEVI 0001771089 Haas Margaret E. C/O LEVI STRAUSS & CO. 1155 BATTERY STREET SAN FRANCISCO CA 94111 0 0 1 0 Common Stock 2019-03-25 4 J 0 15005920 D 0 D Common Stock 2019-03-25 4 J 0 19783990 D 0 I See footnote Common Stock 2019-03-25 4 J 0 8861220 D 0 I See footnote Common Stock 2019-03-25 4 J 0 844680 D 0 I See footnote Class A Common Stock 2019-03-25 4 C 0 1000000 0.00 A 1000000 I See footnote Class A Common Stock 2019-03-25 4 S 0 1000000 17.00 D 0 I See footnote Class B Common Stock 2019-03-25 4 J 0 15005920 0.00 A Class A Common Stock 15005920 15005920 D Class B Common Stock 2019-03-25 4 J 0 19783990 0.00 A Class A Common Stock 19783990 19783990 I See footnote Class B Common Stock 2019-03-25 4 J 0 8861220 0.00 A Class A Common Stock 8861220 8861220 I See footnote Class B Common Stock 2019-03-25 4 J 0 844680 0.00 A Class A Common Stock 844680 844680 I See footnote Class B Common Stock 2019-03-25 4 C 0 1000000 0.00 D Class A Common Stock 1000000 7861220 I See footnote Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class B Common Stock in an exempt transaction pursuant to Rule 16b-7. The shares are held by trusts and a limited liability company, of which Ms. Haas is trustee and manager, respectively, for the benefit of others. Ms. Haas disclaims beneficial ownership of these shares. The shares are held by the Margaret E. Haas Fund, of which Ms. Haas is board chair, for the benefit of charitable entities. Ms. Haas disclaims beneficial ownership of these shares. The shares are held by the Lynx Foundation, of which Ms. Haas is board chair, for the benefit of charitable entities. Ms. Haas disclaims beneficial ownership of these shares. Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Margaret E. Haas Fund. 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. /s/ Cynthia Lee, Attorney-in-Fact 2019-03-27