0001209191-20-002520.txt : 20200108 0001209191-20-002520.hdr.sgml : 20200108 20200108162902 ACCESSION NUMBER: 0001209191-20-002520 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191124 FILED AS OF DATE: 20200108 DATE AS OF CHANGE: 20200108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosen Marc CENTRAL INDEX KEY: 0001768725 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 20515999 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 0001768725 Rosen Marc C/O LEVI STRAUSS & CO. 1155 BATTERY STREET SAN FRANCISCO CA 94111 0 1 0 0 EVP & Pres. Direct-to-Customer Class B Common Stock 2019-05-03 5 G 0 115030 0.00 D Class B Common Stock 115030 0 D Class B Common Stock 2019-05-03 5 G 0 115030 0.00 A Class B Common Stock 115030 115030 I See Footnote 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. The shares are held by the Rosen Family Trust, of which the Reporting Person is a co-trustee. /s/ Cynthia Lee, Attorney-in-Fact 2020-01-08