Miriam L. Haas - Nov 28, 2021 Form 5 Insider Report for LEVI STRAUSS & CO (LEVI)

Role
10%+ Owner
Signature
/s/ Parker Phillips, Attorney-in-Fact
Stock symbol
LEVI
Transactions as of
Nov 28, 2021
Transactions value $
$0
Form type
5
Date filed
1/12/2022, 04:15 PM
Next filing
Jan 10, 2023

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction LEVI Class B Common Stock Other $0 -915K -15.25% $0.00 5.09M Apr 8, 2021 Class A Common Stock By grantor retained annuity trust F1, F2
transaction LEVI Class B Common Stock Other $0 +915K +2.42% $0.00 38.8M Apr 8, 2021 Class A Common Stock Direct F1, F2
transaction LEVI Class B Common Stock Other $0 -852K -16.76% $0.00 4.23M Oct 8, 2021 Class A Common Stock By grantor retained annuity trust F1, F2
transaction LEVI Class B Common Stock Other $0 +852K +2.2% $0.00 39.5M Oct 8, 2021 Class A Common Stock Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 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.
F2 Shares reflect distributions from a grantor retained annuity trust for the benefit of the reporting person and the remainder beneficiaries.