Statement of Changes in Beneficial Ownership (4)
March 08 2021 - 6:24AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
JAB Holdings B.V. |
2. Issuer Name and Ticker or Trading Symbol
Keurig Dr Pepper Inc.
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KDP
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
PIET HEINKADE 55, |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/4/2021 |
(Street)
AMSTERDAM, P7 1019 GM
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, par value $0.01 per share | 3/4/2021 | | J | | 5424511 (1) | D | (1) | 0 | D (2) | |
Common Stock, par value $0.01 per share | 3/4/2021 | | J | | 5424511 (1) | A | (1) | 472909049 | I | See footnote (3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | JAB Holdings B.V. ("JAB Holdings") agreed to exchange (the "Exchanges"), on March 4, 2021, 5,424,511 shares of common stock, par value $0.01 per share (the "Shares"), of Keurig Dr Pepper Inc. ("KDP"), held directly by JAB Holdings, for minority shareholders' equity interests in Acorn Holdings B.V. ("Acorn"). There was no net change in JAB Holdings' total pecuniary interest in the Shares. |
(2) | These Shares are held by JAB Holdings. On the basis of each other Reporting Person's direct or indirect interest in JAB Holdings, each other Reporting Person herein may be deemed a beneficial owner of Shares held by JAB Holdings. Each of the Reporting Persons disclaims beneficial ownership of such Shares, except to the extent of its pecuniary interests therein. |
(3) | These Shares are held by JAB BevCo B.V. ("JAB BevCo"). On the basis of each Reporting Person's indirect interest in JAB BevCo, each Reporting Person herein may be deemed a beneficial owner of Shares held by JAB BevCo. Each of the Reporting Persons disclaims beneficial ownership of such Shares, except to the extent of its pecuniary interests therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
JAB Holdings B.V. PIET HEINKADE 55 AMSTERDAM, P7 1019 GM |
| X |
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JAB Investments S.a r.l. 4, RUE JEAN MONNET LUXEMBOURG, N4 L-2180 |
| X |
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JAB Holding Co s.a r.l. 4, RUE JEAN MONNET LUXEMBOURG, N4 L-2180 |
| X |
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Joh. A. Benckiser B.V. OOSTERDOKSSTRAAT 80 LUXEMBOURG, P7 1011DK |
| X |
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Agnaten SE 4, RUE JEAN MONNET LUXEMBOURG, N4 L-2180 |
| X |
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Lucresca SE 4, RUE JEAN MONNET TOP 10 LUXEMBOURG, N4 L-2180 |
| X |
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Signatures
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/s/ Joachim Creus, Director of JAB Holdings B.V.; /s/ Frank Engelen, Director of JAB Holdings B.V. | | 3/8/2021 |
**Signature of Reporting Person | Date |
/s/ Joachim Creus, Manager of JAB Investments s.a r.l.; /s/ Philippe Chenu, Manager of JAB Investments s.a r.l. | | 3/8/2021 |
**Signature of Reporting Person | Date |
/s/ Constantin Thun, Manager of JAB Holding Company s.a r.l.; /s/ Joachim Creus, Manager of JAB Holding Company s.a r.l. | | 3/8/2021 |
**Signature of Reporting Person | Date |
/s/ Joachim Creus, Director of Joh. A. Benckiser B.V.; /s/ Frank Engelen, Director of Joh. A. Benckiser B.V. | | 3/8/2021 |
**Signature of Reporting Person | Date |
/s/ Joachim Creus, Authorized Representative of Lucresca SE | | 3/8/2021 |
**Signature of Reporting Person | Date |
/s/ Joachim Creus, Authorized Representative of Agnaten SE | | 3/8/2021 |
**Signature of Reporting Person | Date |
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