0001209191-23-045436.txt : 20230811 0001209191-23-045436.hdr.sgml : 20230811 20230811161738 ACCESSION NUMBER: 0001209191-23-045436 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211128 FILED AS OF DATE: 20230811 DATE AS OF CHANGE: 20230811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Friedman David A CENTRAL INDEX KEY: 0001768697 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 231164382 MAIL ADDRESS: STREET 1: C/O LEVI STRAUSS & CO. STREET 2: 1155 BATTERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 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 5 1 doc5.xml FORM 5 SUBMISSION X0508 5 2021-11-28 0 0 1 0000094845 LEVI STRAUSS & CO LEVI 0001768697 Friedman David A C/O LEVI STRAUSS & CO. 1155 BATTERY STREET SAN FRANCISCO CA 94111 1 0 0 0 1 Class A Common Stock 2021-07-15 5 G 0 L 33333 0.00 D 214845 I See Footnote Class A Common Stock 2021-07-15 5 G 0 L 33333 0.00 A 235325 D Class A Common Stock 2021-07-15 4 S 0 L 33333 28.92 D 235325 D Class A Common Stock 2021-09-28 4 C 0 L 170000 0.00 A 214845 I See Footnote Class A Common Stock 2021-09-28 5 G 0 L 170000 0.00 D 214845 I See Footnote Class A Common Stock 2021-10-11 4 C 0 L 200000 0.00 A 214845 I See Footnote Class B Common Stock 2021-09-28 4 C 0 L 170000 0.00 D Class A Common Stock 170000 1487540 I See Footnote Class B Common Stock 2021-10-11 4 C 0 L 200000 0.00 D Class A Common Stock 200000 1287540 I See Footnote Class B Common Stock Class A Common Stock 8828 8828 D The shares are held by the David A. Friedman 1993 Revocable Trust, of which the Reporting Person is trustee. Includes 16,313 restricted stock units (RSUs) that may be settled in shares of Class A Common Stock, including RSUs previously issued in the form of dividend equivalent rights. Each RSU represents a contingent right to receive one share of the issuer's Class A Common Stock upon settlement. 10,828 of the RSUs vest in a series of three equal installments on the dates that are 13, 24 and 36 months following the date of grant and 5,485 of the RSUs vest in full on the first anniversary of the date of grant. Transaction pursuant to a previously established Rule 10b5-1 Plan. Represents weighted average sales price. The shares were sold at prices ranging from $28.559 to $30.00. The Reporting Person will provide upon request, to the SEC, the Issuer or security holder of the Issuer, full information regarding the number of shares sold at each separate price. Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person. 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. Each share is represented by a restricted stock unit (RSU) that may be settled in shares of Class B Common Stock, including RSUs previously issued in the form of dividend equivalent rights (DERs). Each RSU represents a contingent right to receive one share of the Issuer's Class B Common Stock upon settlement. The RSUs vest in a series of three equal installments on the dates that are 13, 24 and 36 months following the date of grant. Certain of such RSUs are subject to a deferral delivery feature. /s/ Priscilla Duncan-Tannous, Attorney-in-Fact 2023-08-11