0001209191-21-059746.txt : 20211005 0001209191-21-059746.hdr.sgml : 20211005 20211005203411 ACCESSION NUMBER: 0001209191-21-059746 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAFFE SETH CENTRAL INDEX KEY: 0001263162 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 211308504 MAIL ADDRESS: STREET 1: 3250 VAN NESS AVE CITY: SAN FRANCISCO STATE: CA ZIP: 94109 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: 1128 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 2021-10-01 0 0000094845 LEVI STRAUSS & CO LEVI 0001263162 JAFFE SETH C/O LEVI STRAUSS & CO. 1155 BATTERY STREET SAN FRANCISCO CA 94111 0 1 0 0 EVP & General Counsel Class A Common Stock 2021-10-01 4 C 0 40124 0.00 A 156578 D Stock Appreciation Rights 7.425 2021-10-01 4 M 0 113203 0.00 D 2022-02-04 Class B Common Stock 113203 0 D Class B Common Stock 2021-10-01 4 M 0 113203 7.425 A Class A Common Stock 113203 341683 D Class B Common Stock 2021-10-01 4 D 0 73079 25.00 D Class A Common Stock 73079 268604 D Class B Common Stock 2021-10-01 4 C 0 40124 0.00 D Class A Common Stock 40124 228480 D The transaction being reported was effected pursuant to a previously established Rule 10b5-1 trading plan. Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person. 100% of these stock appreciation rights are fully vested. 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 2021-10-05