0001209191-19-021540.txt : 20190327 0001209191-19-021540.hdr.sgml : 20190327 20190327202103 ACCESSION NUMBER: 0001209191-19-021540 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 Robert D. CENTRAL INDEX KEY: 0001770963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 19709654 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 0001770963 Haas Robert D. C/O LEVI STRAUSS & CO. 1155 BATTERY STREET SAN FRANCISCO CA 94111 0 0 1 0 Common Stock 2019-03-25 4 J 0 13443420 D 0 D Common Stock 2019-03-25 4 J 0 15384730 D 0 I See footnote Common Stock 2019-03-25 4 J 0 236450 D 0 I See footnote Common Stock 2019-03-25 4 J 0 10000000 D 0 I See footnote Common Stock 2019-03-25 4 J 0 249770 D 0 I See footnote Class B Common Stock 2019-03-25 4 J 0 13443420 0.00 A Class A Common Stock 13443420 13443420 D Class B Common Stock 2019-03-25 4 J 0 15384730 0.00 A Class A Common Stock 15384730 15384730 I See footnote Class B Common Stock 2019-03-25 4 J 0 236450 0.00 A Class A Common Stock 236450 236450 I See footnote Class B Common Stock 2019-03-25 4 J 0 10000000 0.00 A Class A Common Stock 10000000 10000000 I See footnote Class B Common Stock 2019-03-25 4 J 0 249770 0.00 A Class A Common Stock 249770 249770 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 a trust, of which Mr. Haas is trustee, for the benefit of others. Mr. Haas disclaims beneficial ownership of these shares. The shares are held by Mr. Haas' spouse. Mr. Haas disclaims beneficial ownership of these shares. The shares are held by a trust, of which Mr. Haas' spouse is trustee, for the benefit of others. Mr. Haas disclaims beneficial ownership of these shares. The shares are held by a trust, of which Mr. Haas and his spouse are co-trustees, for the benefit of others. 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