0001209191-21-028740.txt : 20210427
0001209191-21-028740.hdr.sgml : 20210427
20210427202631
ACCESSION NUMBER: 0001209191-21-028740
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210423
FILED AS OF DATE: 20210427
DATE AS OF CHANGE: 20210427
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: 21861006
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
2021-04-23
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
2021-04-23
4
C
0
733065
0.00
A
739572
I
See Footnote
Class A Common Stock
2021-04-23
5
G
0
E
739572
0.00
D
0
I
See Footnote
Class A Common Stock
2021-04-23
5
G
0
E
470572
0.00
A
749213
D
Class A Common Stock
2021-04-23
5
G
0
E
269000
0.00
A
269000
I
See Footnote
Class A Common Stock
2021-04-23
5
G
0
E
185525
0.00
D
720000
I
See Footnote
Class A Common Stock
2021-04-23
5
G
0
E
185525
0.00
A
934738
D
Class B Common Stock
2021-04-23
4
C
0
733065
0.00
D
Class A Common Stock
733065
0
I
See footnote
Class B Common Stock
Class A Common Stock
1221685
1221685
D
Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
The shares are held in a family trust formed in 2019 of which Mr. Bergh is trustee.
Shares transferred to satisfy annuity payment and as payment to the beneficiary pursuant to the trust terms.
Shares transferred to satisfy annuity payments.
Shares transferred as payment to the beneficiary pursuant to the trust terms.
The shares are held in another 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.
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/ David Jedrzejek, Attorney-in-Fact
2021-04-27