0001209191-21-005970.txt : 20210128 0001209191-21-005970.hdr.sgml : 20210128 20210128202518 ACCESSION NUMBER: 0001209191-21-005970 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210126 FILED AS OF DATE: 20210128 DATE AS OF CHANGE: 20210128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergh Charles V CENTRAL INDEX KEY: 0001436534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 21567477 MAIL ADDRESS: STREET 1: 105 CORPORATE CENTER BOULEVARD CITY: GREENSBORO STATE: NC ZIP: 27408 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 2021-01-26 0 0000094845 LEVI STRAUSS & CO LEVI 0001436534 Bergh Charles V C/O LEVI STRAUSS & CO. 1155 BATTERY STREET SAN FRANCISCO CA 94111 1 1 0 0 President and CEO Class A Common Stock 2021-01-26 4 A 0 105386 0.00 A 972255 D Class A Common Stock 1031690 I See Footnote Class A Common Stock 6507 I See Footnote Class A Common Stock 905525 I See Footnote Stock Appreciation Rights 21.35 2021-01-26 4 A 0 227732 0.00 A 2031-01-26 Class A Common Stock 227732 227732 D The shares are represented by restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. The RSUs vest in four equal installments of 25% on each of January 28, 2022, January 27, 2023, January 26, 2024, and January 24, 2025, subject to Participant's Continuous Service through each such vesting date. The shares are held in an irrevocable trust to which Mr. Bergh is Investment Direction Adviser and of which Mr. Bergh's family members are beneficiaries. The shares are held in a family trust formed in 2019 of which Mr. Bergh is trustee. The shares are held in a family trust formed in 2020 of which Mr. Bergh is trustee. Vests in four equal installments of 25% on each of January 28, 2022, January 27, 2023, January 26, 2024, and January 24, 2025, subject to Participant's Continuous Service through each such vesting date. /s/ David Jedrzejek, Attorney-in-Fact 2021-01-28