0001140361-16-089102.txt : 20161208 0001140361-16-089102.hdr.sgml : 20161208 20161208160930 ACCESSION NUMBER: 0001140361-16-089102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161207 FILED AS OF DATE: 20161208 DATE AS OF CHANGE: 20161208 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: 617-368-5056 MAIL ADDRESS: STREET 1: ONE DESIGN CENTER PLACE STREET 2: SUITE 850 CITY: BOSTON STATE: MA ZIP: 02210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fisher Cynthia A CENTRAL INDEX KEY: 0001550860 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14092 FILM NUMBER: 162041522 MAIL ADDRESS: STREET 1: 186 PARK STREET CITY: NEWTON STATE: MA ZIP: 02458 4 1 doc1.xml FORM 4 X0306 4 2016-12-07 0 0000949870 BOSTON BEER CO INC SAM 0001550860 Fisher Cynthia A 186 PARK STREET NEWTON MA 02458 1 0 0 0 Class A Common 2016-12-07 5 G 0 22000 0 A 22000 I By Foundation managed by Reporting Person's Spouse Class A Common 27437 I By LLC managed by Reporting Person Class A Common 23486 I By spouse as custodian for children under UGTMA Class A Common 3656 I Custodian for children under UGTMA Class A Common 2532 I As trustee in trust for children Class A Common 44248 I By LLC managed by Reporting Person This transaction is a Form 5 transaction being voluntarily reported early. On the Transaction Date, the Reporting Person's spouse gifted 22,000 shares from his direct ownership into a foundation that the Reporting Person's spouse controls. The Reporting Person serves on the Board of Directors of the foundation. The shares are held by West Summit Grand LLC, a limited liability company managed by the Reporting Person. The Reporting Person expressly disclaims beneficial ownership of the securities except to the extent of her pecuniary interest therein. The shares are held by an LLC managed by the Reporting Person and owned by Trusts established for the benefit of the Reporting Person's children and the Reporting Person's spouse's children. The Reporting Person is the Trustee or Co-Trustee for each Trust. Michael G. Andrews under POA for the benefit of Cynthia A. Fisher 2016-12-08