Robert D. 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
1/10/2022, 03:12 PM
Previous filing
Jun 1, 2021
Next filing
Jan 9, 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 -1.09M -100% $0.00* 0 Sep 29, 2021 Class A Common Stock $0.00 By spouse F1, F2, F3
transaction LEVI Class B Common Stock Other $0 +1.09M +34.38% $0.00 4.25M Sep 29, 2021 Class A Common Stock $0.00 By grantor retained annuity trusts of spouse F1, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 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.
F2 Mr. Haas disclaims beneficial ownership of these shares.
F3 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.