SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MING JENNY J

(Last) (First) (Middle)
C/O LEVI STRAUSS & CO.
1155 BATTERY STREET

(Street)
SAN FRANCISCO CA 94111

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LEVI STRAUSS & CO [ LEVI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
02/23/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 02/23/2023 A 354(1) A $0.00 90,816 D
Class A Common Stock 02/23/2023 A 116(2)(3) A $0.00 90,932 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Represents restricted stock units (RSUs) for Class B common stock constituting dividend equivalent rights (DERs) issued pursuant to existing Class B common stock RSUs held by the holder (the "Underlying Class B RSUs"). DERs are issued with regard to the Underlying Class B RSUs, which bear dividend equivalent rights, when and as dividends were paid on the Issuer's Class B common stock. Each DER represents a contingent right to receive one share of Class B common stock, which is convertible into one share of Class A common stock at the option of the holder. The DERs have all vested. Certain of the Underlying Class B RSUs and the DERs issued pursuant thereto are subject to a deferral delivery feature.
2. Represents RSUs for Class A common stock constituting DERs issued pursuant to existing Class A common stock RSUs held by the holder (the "Underlying Class A RSUs"). DERs are issued with regard to the Underlying Class A RSUs, which bear dividend equivalent rights, when and as dividends were paid on the Issuer's Class A common stock. Each DER represents a contingent right to receive one share of Class A common stock. With respect to 63 of the DERs, the DERs vest in a series of three equal installments on the dates that are 13, 24 and 36 months following the date of grant of the corresponding Underlying Class A RSUs. With respect to 53 of the DERs, the DERs vest as to 100% of the shares on the earlier of the date before the next annual meeting of shareholders or the first anniversary of the date of grant of the corresponding Underlying Class A RSUs.
3. Certain of the Underlying Class A RSUs and the DERs issued pursuant thereto are subject to a deferral delivery feature.
Remarks:
/s/ Priscilla Duncan-Tannous, Attorney-in-Fact 02/27/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.