0001209191-23-025259.txt : 20230421 0001209191-23-025259.hdr.sgml : 20230421 20230421183726 ACCESSION NUMBER: 0001209191-23-025259 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220124 FILED AS OF DATE: 20230421 DATE AS OF CHANGE: 20230421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergh Charles V CENTRAL INDEX KEY: 0001436534 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 23837576 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: 1127 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0407 4/A 2022-01-24 2022-01-26 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 0 Class B Common Stock 2022-01-24 4 A 0 356731 0.00 A Class A Common Stock 356731 1466139 D Class B Common Stock 2022-01-24 4 F 0 170070 21.79 D Class A Common Stock 170070 1296069 D Represents shares of Class B common stock issued upon the settlement of restricted stock units with performance-based vesting criteria (PRSUs). The performance criteria were met on January 24, 2022. This Form 4/A is being filed to correct the disclosure relating to the issuance of shares of Class B common stock upon settlement of PRSUs set forth in the Form 4 filed on January 26, 2022 (the "Original Form 4"), which were inadvertently disclosed in Table I instead of Table II in the Original Form 4. 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. Includes 104,490 shares of Class B common stock subject to restricted stock units, (i) 43,780 of which were awarded in 2018 and vest on January 30, 2022 and (ii) 60,710 of which were awarded in 2019, which vest in two equal annual installments beginning on January 30, 2022. Shares withheld to cover tax obligation from settlement of vested PRSUs and restricted stock units. /s/ Priscilla Duncan-Tannous, Attorney-in-Fact 2023-04-21