0001209191-21-005978.txt : 20210128 0001209191-21-005978.hdr.sgml : 20210128 20210128202952 ACCESSION NUMBER: 0001209191-21-005978 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: Rosen Marc CENTRAL INDEX KEY: 0001768725 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 21567485 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 2021-01-26 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 & President, LSA Class A Common Stock 2021-01-26 4 A 0 14637 0.00 A 109327 D Class A Common Stock 28350 I See Footnote Stock Appreciation Rights 21.35 2021-01-26 4 A 0 31629 0.00 A 2031-01-26 Class A Common Stock 31629 31629 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 by the Rosen Family Trust, of which the Reporting Person is a co-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