0001209191-21-070652.txt : 20211220 0001209191-21-070652.hdr.sgml : 20211220 20211220190124 ACCESSION NUMBER: 0001209191-21-070652 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211216 FILED AS OF DATE: 20211220 DATE AS OF CHANGE: 20211220 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: 211506413 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: 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 2021-12-16 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 2021-12-16 4 F 0 3063 24.18 D 1113046 D Class A Common Stock 1057235 I See Footnote Class A Common Stock 269000 I See Footnote Class A Common Stock 720000 I See Footnote Represents shares withheld by Levi Strauss & Co. for certain payroll taxes. 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 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. /s/ David Jedrzejek, Attorney-in-Fact 2021-12-20