Statement of Changes in Beneficial Ownership (4)
May 17 2019 - 5:23PM
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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Maple Holdings B.V.
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2. Issuer Name
and
Ticker or Trading Symbol
Keurig Dr Pepper Inc.
[
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)
OOSTERDOKSSTRAAT 80,
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3. Date of Earliest Transaction
(MM/DD/YYYY)
5/15/2019
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(Street)
AMSTERDAM, P7 1011DK
(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
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5/15/2019
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S
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7048000
(1)
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D
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$28.15
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998875440
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D
(2)
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Common Stock, par value $0.01 per share
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5/15/2019
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S
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30803579
(1)
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D
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$27.50
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968071861
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D
(2)
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Common Stock, par value $0.01 per share
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5/16/2019
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S
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3539824
(1)
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D
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$28.25
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964532037
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D
(2)
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Common Stock, par value $0.01 per share
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5/16/2019
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S
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5084300
(1)
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D
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$28.25
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959447737
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D
(2)
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Common Stock, par value $0.01 per share
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5/16/2019
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S
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531000
(3)
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D
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$28.25
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958916737
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D
(2)
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Common Stock, par value $0.01 per share
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5/17/2019
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S
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5895597
(4)
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D
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$28.00
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953021140
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D
(2)
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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On May 16, 2019, Maple Holdings B.V. disclosed that it agreed to sell an aggregate of 46,475,703 shares of common stock, par value $0.01 per share, of Keurig Dr Pepper Inc. (the "Shares") through registered direct sales with third parties.
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(2)
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The Shares described in this report are held by Maple Holdings B.V., a direct or indirect subsidiary of each other Reporting Person herein. As such, each other Reporting Person herein may be deemed to beneficially own such Shares held by Maple Holdings B.V. Each of the Reporting Persons disclaims any beneficial ownership of such Shares, except to the extent of its pecuniary interests therein.
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(3)
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On May 16, 2019, Maple Holdings B.V. agreed to sell 531,000 Shares through a registered direct sale with a third party.
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(4)
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On May 17, 2019, Maple Holdings B.V. agreed to sell 5,895,597 Shares through a registered direct sale with a third party.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Maple Holdings B.V.
OOSTERDOKSSTRAAT 80
AMSTERDAM, P7 1011DK
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X
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Acorn Holdings B.V.
OOSTERDOKSSTRAAT 80
AMSTERDAM, P7 1011DK
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X
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JAB Forest B.V.
OOSTERDOKSSTRAAT 80
AMSTERDAM, P7 1011DK
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X
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JAB Holdings B.V.
OOSTERDOKSSTRAAT 80
AMSTERDAM, P7 1011DK
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X
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JAB Investments S.a r.l.
4, RUE JEAN MONNET
LUXEMBOURG, N4 L-2180
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X
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JAB Holding Co s.a r.l.
4, RUE JEAN MONNET
LUXEMBOURG, N4 L-2180
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X
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Donata Holdings B.V.
OOSTERDOCKSSTRAAT 80
AMSTERDAM, P7 1011DK
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X
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Agnaten SE
ROOSEVELTPLATZ 4-5
TOP 10
VIENNA, C4 A-1090
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X
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Lucresca SE
ROOSEVELTPLATZ 4-5
TOP 10
VIENNA, C4 A-1090
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X
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Signatures
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/s/ Merel Broers, Director of Maple Holdings B.V.; /s/ Leo Burgers, Director of Maple Holdings B.V.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Joachim Creus, Proxy Holder of Acorn Holdings B.V.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Merel Broers, Director of JAB Forest B.V.; /s/ Constantin Thun, Director of JAB Forest B.V.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Merel Broers, Director of JAB Holdings B.V.; /s/ Constantin Thun, Director of JAB Holdings B.V.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Markus Hopmann, Manager of JAB Investments s.a r.l.; /s/ Joachim Creus, Manager of JAB Investments s.a r.l.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Markus Hopmann, Manager of JAB Holding Company s.a r.l.; /s/ Joachim Creus, Manager of JAB Holding Company s.a r.l.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Merel Broers, Director of Donata Holdings B.V.; /s/ Constantin Thun, Director of Donata Holdings B.V.
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Joachim Creus, Authorized Representative of Lucresca SE
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5/17/2019
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**
Signature of Reporting Person
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Date
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/s/ Joachim Creus, Authorized Representative of Agnaten SE
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5/17/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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