SEC Form 4 · accession 0001140361-16-089102
BOSTON BEER CO INC · SAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cynthia A Fisher
Director
Period of report
Dec 7, 2016
Accepted (ET)
Dec 8, 2016 · 4:09 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000949870
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common | Dec 7, 2016 | G | 22,000 | $0.00 | A | 22,000 | I | By Foundation managed by Reporting Person's Spouse |
| Class A CommonF2 | holding | — | — | — | 27,437 | I | By LLC managed by Reporting Person | |
| Class A Common | holding | — | — | — | 23,486 | I | By spouse as custodian for children under UGTMA | |
| Class A Common | holding | — | — | — | 3,656 | I | Custodian for children under UGTMA | |
| Class A Common | holding | — | — | — | 2,532 | I | As trustee in trust for children | |
| Class A CommonF3 | holding | — | — | — | 44,248 | I | By LLC managed by Reporting Person |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction is a Form 5 transaction being voluntarily reported early. On the Transaction Date, the Reporting Person's spouse gifted 22,000 shares from his direct ownership into a foundation that the Reporting Person's spouse controls. The Reporting Person serves on the Board of Directors of the foundation.
- F2The shares are held by West Summit Grand LLC, a limited liability company managed by the Reporting Person. The Reporting Person expressly disclaims beneficial ownership of the securities except to the extent of her pecuniary interest therein.
- F3The shares are held by an LLC managed by the Reporting Person and owned by Trusts established for the benefit of the Reporting Person's children and the Reporting Person's spouse's children. The Reporting Person is the Trustee or Co-Trustee for each Trust.