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