SEC Form 5 · accession 0000908551-17-000003
HERSHEY CO · HSY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
HERSHEY TRUST CO
10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Jan 30, 2017 · 10:23 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000047111
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $1.00 par valueF2,F3 | Nov 30, 2016 | G | 100 | $0.00 | A | 12,753,521 | I | By Milton Hershey School Trust |
| Common Stock, $1.00 par valueF4 | holding | — | — | — | 149,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common Stock, $1.00 par valueF5,F3,F6 | $103.43 | holding | — | — | — | — | — | Common Stock, $1.00 par value | 60,612,012 | 60,612,012 | I |
Explanation of responses
- F1Received as a donation to the Milton Hershey School Trust
- F2No compensation was given to the donor for the receipt of shares. Valuation price at the date of donation was $97.265 (The average of the high and low price on the day of donation).
- F3The reporting person is the trustee of Milton Hershey School Trust.
- F4The reporting person is wholly owned by the Milton Hershey School Trust.
- F5All shares of Class B common stock, $1.00 par value, are convertible share-for-share into common stock, $1.00 par value, at any time, and without payment other than for the fact of conversion. There is no expiration date.
- F6Conversion price is the current market price ($103.43 represents the closing price on 12/31/2016).