SEC Form 5 · accession 0001209191-15-006533
Keurig Dr Pepper Inc. · KDP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
M Anne Szostak
Director
Period of report
Dec 31, 2014
Accepted (ET)
Jan 26, 2015 · 4:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001418135
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 1, 2014 | J | 16,820 | $0.00 | D | 0 | D | |
| Common StockF1 | Dec 1, 2014 | J | 16,820 | $0.00 | A | 16,820 | I | M. Anne Szostak Trust |
| Common StockF2 | Dec 1, 2014 | G | 14,045 | $0.00 | D | 2,775 | I | M. Anne Szostak Trust |
| Common StockF2 | Dec 1, 2014 | G | 14,045 | $0.00 | A | 14,045 | I | 2014 Szostak DR. Pepper GRAT |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction is solely to change the character of the ownership interest in the shares from direct to indirect. These shares have been transferred to the M. Anne Szostak Trust (the "Trust") by the reporting person over a period of time. The reporting person is the settlor of the Trust, the trustee of the Trust, has power to direct the distribution of Trust assets, and has the power to revoke or amend the Trust. The reporting person has a pecuniary interest in the shares transferred to the Trust.
- F2These shares have been transferred from the Trust to the 2014 Szostak DR. Pepper GRAT (the "GRAT"). The reporting person is the settlor and trustee of the GRAT. The GRAT is irrevocable, but the reporting person has a pecuniary interest in the GRAT.