SEC Form 5 · accession 0001179110-17-002665
GAP INC · GAP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Sydney Fisher
Director · 10% Owner
Period of report
Jan 28, 2017
Accepted (ET)
Feb 17, 2017 · 4:33 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 12, 2016 | G | 192,000 | $0.00 | D | 12,534,129 | D | |
| Common Stock | Dec 12, 2016 | G | 85,000 | $0.00 | D | 12,534,129 | D | |
| Common Stock | Dec 16, 2016 | G | 566 | $0.00 | A | 12,534,129 | D | |
| Common Stock | Dec 16, 2016 | G | 3,396 | $0.00 | D | 12,534,129 | D | |
| Common Stock | Dec 16, 2016 | G | 566 | $0.00 | A | 163,581 | I | By Spouse |
| Common StockF1 | holding | — | — | — | 27,000,000 | I | By FCH TBMS LLC | |
| Common Stock | holding | — | — | — | 616,487 | I | By Trust | |
| Common Stock | holding | — | — | — | 367,014 | I | By Trust | |
| Common Stock | holding | — | — | — | 15,000 | 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 TBMS LLC, a Delaware limited liability company that owns the reported securities. As manager of FCH TBMS 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 TBMS LLC has beneficial ownership. The reporting person disclaims beneficial ownership of all shares of Gap Common Stock held by FCH TBMS LLC except to the extent of his pecuniary interest therein.