SEC Form 4 · accession 0001209191-15-085586
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 14, 2015
Accepted (ET)
Dec 16, 2015 · 4:48 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 14, 2015 | J | 5,139 | $0.00 | D | 8,906 | I | 2014 Szostak DR. Pepper GRAT |
| Common StockF1 | Dec 14, 2015 | J | 5,139 | $0.00 | A | 5,139 | D | |
| Common StockF1 | Dec 14, 2015 | J | 5,139 | $0.00 | D | 0 | D | |
| Common StockF1 | Dec 14, 2015 | J | 5,139 | $0.00 | A | 9,124 | I | M. Anne Szostak Trust |
| Common StockF2 | Dec 14, 2015 | J | 3,290 | $0.00 | D | 5,616 | I | 2014 Szostak DR. Pepper GRAT |
| Common StockF2 | Dec 14, 2015 | J | 3,290 | $0.00 | A | 12,414 | I | M. Anne Szostak Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were transferred as a distribution of assets made by the 2014 Szostak DR. Pepper GRAT (the "GRAT") as an annuity payment to reporting person pursuant to the terms of the GRAT. The reporting person immediately contributed those shares to the M. Anne Szostak Trust (the "TRUST").
- F2These shares were transferred to the TRUST by the GRAT in exchange for assets of the TRUST of approximate equal value.