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