0001493152-21-000932.txt : 20210113 0001493152-21-000932.hdr.sgml : 20210113 20210113141852 ACCESSION NUMBER: 0001493152-21-000932 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201129 FILED AS OF DATE: 20210113 DATE AS OF CHANGE: 20210113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haas Robert D. CENTRAL INDEX KEY: 0001770963 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06631 FILM NUMBER: 21525825 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: 1125 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 ownership.xml X0306 5 2020-11-29 0 0 0 0000094845 LEVI STRAUSS & CO LEVI 0001770963 Haas Robert D. C/O ARGONAUT SECURITIES COMPANY 1155 BATTERY STREET SAN FRANCISCO CA 94111 0 0 1 0 Class B Common Stock 0 2020-09-29 5 J 0 1931720 0 D Class A Common Stock 5648826 I By grantor retained annuity trusts Class B Common Stock 0 2020-09-29 5 J 0 1931720 0 A Class A Common Stock 247760 D Class B Common Stock 0 2020-09-29 5 J 0 495583 0 D Class A Common Stock 5648826 I By grantor retained annuity trusts Class B Common Stock 0 2020-09-29 5 J 0 495583 0 A Class A Common Stock 23179324 I See footnote Class B Common Stock 0 2020-09-29 5 J 0 1931720 0 D Class A Common Stock 247760 D Class B Common Stock 0 2020-09-29 5 J 0 1931720 0 A Class A Common Stock 5648826 I To grantor retained annuity trusts Class B Common Stock 0 2020-09-29 5 J 0 1366337 0 D Class A Common Stock 4099541 I By grantor retained annuity trusts of spouse Class B Common Stock 0 2020-09-29 5 J 0 1366337 0 A Class A Common Stock 276480 I To spouse Class B Common Stock 0 2020-09-29 5 J 0 359851 0 D Class A Common Stock 4099541 I By grantor retained annuity trusts of spouse Class B Common Stock 0 2020-09-29 5 J 0 359851 0 A Class A Common Stock 6108189 I See footnote Class B Common Stock 0 2020-09-29 5 J 0 1366337 0 D Class A Common Stock 276480 I By spouse Class B Common Stock 0 2020-09-29 5 J 0 1366337 0 A Class A Common Stock 4099541 I To grantor retained annuity trusts of spouse On the Transaction Date, one or more grantor retained annuity trusts for the benefit of the reporting person and the remainder beneficiaries distributed shares of Class B Common Stock to the reporting person. On the Transaction Date, one or more grantor retained annuity trusts for the benefit of the spouse of the reporting person and the remainder beneficiaries distributed shares of Class B Common Stock to the spouse of the reporting person. Mr. Haas disclaims beneficial ownership of these shares. Transfers to trusts for the benefit of the reporting person's descendants that have been established by either Mr. Haas or his spouse. Mr. Haas disclaims beneficial ownership of these shares. On the Transaction Date, the reporting person distributed shares of Class B Common Stock to one or more grantor retained annuity trusts for the benefit of himself and the remainder beneficiaries. On the Transaction Date, the reporting person's spouse distributed shares of Class B Common Stock to one or more grantor retained annuity trusts for the benefit of herself and the remainder beneficiaries. Mr. Haas disclaims beneficial ownership of these shares. Mr. Haas disclaims beneficial ownership of these shares. 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/ Parker Phillips, attorney-in-fact 2021-01-13