SEC Form 4 · accession 0001179110-17-009985
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
Jun 30, 2017
Accepted (ET)
Jul 5, 2017 · 4:19 pm EDT
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 StockF1 | Jun 30, 2017 | M | 3,368 | $0.00 | A | 12,537,497 | D | |
| Common StockF2 | Jun 30, 2017 | M | 376 | $0.00 | A | 12,537,873 | D | |
| Common Stock | holding | — | — | — | 163,581 | I | By Spouse | |
| Common StockF3 | 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
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock UnitsF1 | $0.00 | Jun 30, 2017 | M | 3,368 | D | — | — | Common Stock | 3,368 | 0 | D |
| Dividend Equivalent RightsF2 | $0.00 | Jun 30, 2017 | M | 377 | D | — | — | Common Stock | 377 | 0 | D |
Explanation of responses
- F13,368 shares were issued in settlement of the stock units originally granted to the reporting person on June 30, 2014. Each stock unit represented the right to receive one share of The Gap, Inc. common stock ("GAP Common Stock").
- F2376 shares were issued in settlement of dividend equivalent rights on the above-referenced stock units originally granted to the reporting person on June 30, 2014. Each equivalent right was the economic equivalent of one share of Gap Common Stock.
- F3The 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.