SEC Form 5 · accession 0001179110-17-002663
GAP INC · GAP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John J Fisher
10% Owner
Period of report
Jan 28, 2017
Accepted (ET)
Feb 17, 2017 · 4:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000039911
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 8, 2016 | G | 380,000 | $0.00 | D | 7,322,329 | D | |
| Common Stock | Dec 16, 2016 | G | 566 | $0.00 | A | 7,322,329 | D | |
| Common Stock | Dec 16, 2016 | G | 4,528 | $0.00 | D | 7,322,329 | D | |
| Common Stock | Dec 16, 2016 | G | 566 | $0.00 | A | 43,372 | I | By Spouse |
| Common StockF1 | holding | — | — | — | 27,000,000 | I | FCH TBML LLC | |
| Common Stock | holding | — | — | — | 11,616,487 | I | By Trusts | |
| Common Stock | holding | — | — | — | 3,581,500 | I | By Trust | |
| Common Stock | holding | — | — | — | 442,014 | I | By Trust | |
| Common Stock | holding | — | — | — | 20,000 | I | By Limited Partnerships |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person is the sole manager and a member of FCH TBML LLC, a Delaware limited liability company that owns the reported securities. As manager of FCH TBML LLC, the reporting person may be deemed to have indirect beneficial ownership of the 27,000,000 shares of Gap Common Stock of which FCH TBML LLC has beneficial ownership. The reporting person disclaims beneficial ownership of all shares of Gap Common Stock held by FCH TBML LLC except to the extent of his pecuniary interest therein.