0001140361-12-028221.txt : 20120601
0001140361-12-028221.hdr.sgml : 20120601
20120601133236
ACCESSION NUMBER: 0001140361-12-028221
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120523
FILED AS OF DATE: 20120601
DATE AS OF CHANGE: 20120601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fisher Cynthia A
CENTRAL INDEX KEY: 0001550860
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14092
FILM NUMBER: 12882592
MAIL ADDRESS:
STREET 1: 186 PARK STREET
CITY: NEWTON
STATE: MA
ZIP: 02458
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BOSTON BEER CO INC
CENTRAL INDEX KEY: 0000949870
STANDARD INDUSTRIAL CLASSIFICATION: MALT BEVERAGES [2082]
IRS NUMBER: 043284048
STATE OF INCORPORATION: MA
FISCAL YEAR END: 1226
BUSINESS ADDRESS:
STREET 1: ONE DESIGN CENTER PLACE
STREET 2: SUITE 850
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 617-368-5061
MAIL ADDRESS:
STREET 1: ONE DESIGN CENTER PLACE
STREET 2: SUITE 850
CITY: BOSTON
STATE: MA
ZIP: 02210
3
1
doc1.xml
FORM 3
X0205
3
2012-05-23
0
0000949870
BOSTON BEER CO INC
SAM
0001550860
Fisher Cynthia A
186 PARK STREET
NEWTON
MA
02458
1
0
0
0
Class A Common
5064
I
As Trustee, in trust for children
Class A Common
22756
I
As Trustee, in trust under GRAT
Class A Common
13145
I
See Footnote
Class A Common
235248
I
By Spouse
Class B Common
4107355
I
By Spouse
Class A Common
27142
I
By Spouse as custodian for children under UGTMA
The shares are held by West Summit Grand LLC, a limited liability company, of which the Reporting Person serves as manager. The Reporting Person expressly disclaims beneficial ownership of the securities except to the extent of her pecuniary interest therein.
Cynthia A. Fisher
2012-06-01