0001104659-20-137024.txt : 20201217 0001104659-20-137024.hdr.sgml : 20201217 20201217204749 ACCESSION NUMBER: 0001104659-20-137024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201217 FILED AS OF DATE: 20201217 DATE AS OF CHANGE: 20201217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAB Forest B.V. CENTRAL INDEX KEY: 0001576735 STATE OF INCORPORATION: P7 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33829 FILM NUMBER: 201397758 BUSINESS ADDRESS: STREET 1: OUDE WEG 147 STREET 2: NL - 2031 CC HAARLEM CITY: HAARLEM, THE NETHERLANDS STATE: P7 ZIP: 2031 BUSINESS PHONE: 352 22 9999 5178 MAIL ADDRESS: STREET 1: OUDE WEG 147 STREET 2: NL - 2031 CC HAARLEM CITY: HAARLEM, THE NETHERLANDS STATE: P7 ZIP: 2031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Acorn Holdings B.V. CENTRAL INDEX KEY: 0001746728 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33829 FILM NUMBER: 201397759 BUSINESS ADDRESS: STREET 1: OOSTERDOKSSTRAAT 80 CITY: AMSTERDAM STATE: P7 ZIP: 1011DK BUSINESS PHONE: 31 25 62 65 20 MAIL ADDRESS: STREET 1: OOSTERDOKSSTRAAT 80 CITY: AMSTERDAM STATE: P7 ZIP: 1011DK REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maple Holdings B.V. CENTRAL INDEX KEY: 0001746478 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33829 FILM NUMBER: 201397760 BUSINESS ADDRESS: STREET 1: OOSTERDOKSSTRAAT 80 CITY: AMSTERDAM STATE: P7 ZIP: 1011DK BUSINESS PHONE: 31 235 62 65 20 MAIL ADDRESS: STREET 1: OOSTERDOKSSTRAAT 80 CITY: AMSTERDAM STATE: P7 ZIP: 1011DK REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Acorn Top Holding B.V. CENTRAL INDEX KEY: 0001833608 STATE OF INCORPORATION: P7 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33829 FILM NUMBER: 201397761 BUSINESS ADDRESS: STREET 1: PIET HEINKADE 55 CITY: AMSTERDAM STATE: P7 ZIP: 1019 GM BUSINESS PHONE: 31 20 406 1001 MAIL ADDRESS: STREET 1: PIET HEINKADE 55 CITY: AMSTERDAM STATE: P7 ZIP: 1019 GM ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Keurig Dr Pepper Inc. CENTRAL INDEX KEY: 0001418135 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] IRS NUMBER: 753258232 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 53 SOUTH AVENUE CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: 781-418-7000 MAIL ADDRESS: STREET 1: 53 SOUTH AVENUE CITY: BURLINGTON STATE: MA ZIP: 01803 FORMER COMPANY: FORMER CONFORMED NAME: Dr Pepper Snapple Group, Inc. DATE OF NAME CHANGE: 20080108 FORMER COMPANY: FORMER CONFORMED NAME: CSAB Inc. DATE OF NAME CHANGE: 20071109 4 1 tm2038827d2_4.xml OWNERSHIP DOCUMENT X0306 4 2020-12-17 0 0001418135 Keurig Dr Pepper Inc. KDP 0001833608 Acorn Top Holding B.V. PIET HEINKADE 55 AMSTERDAM P7 1019 GM NETHERLANDS 0 0 1 0 0001746478 Maple Holdings B.V. OOSTERDOKSSTRAAT 80 AMSTERDAM P7 1011DK NETHERLANDS 0 0 1 0 0001746728 Acorn Holdings B.V. OOSTERDOKSSTRAAT 80 AMSTERDAM P7 1011DK NETHERLANDS 0 0 1 0 0001576735 JAB Forest B.V. PIET HEINKADE 55 AMSTERDAM P7 1019 GM NETHERLANDS 0 0 1 0 Common Stock, par value $0.01 per share 2020-12-17 4 J 0 6607849 A 472909049 I See Footnote Common Stock, par value $0.01 per share 2020-12-17 4 J 0 2747640 A 472909049 I See Footnote On December 17, 2020, JAB Holdings B.V. ("JAB Holdings") agreed to contribute down to Maple Holdings B.V., an indirect subsidiary of JAB Holdings ("Maple Holdings"), 6,607,849 shares of common stock, par value $0.01 per share (the "Shares"), of Keurig Dr Pepper Inc. ("KDP") that were held directly by JAB Holdings. These Shares are held by Maple Holdings, a direct or indirect subsidiary of each other Reporting Person herein. As such, each other Reporting Person herein may be deemed a beneficial owner of Shares held by Maple Holdings. Each of the Reporting Persons disclaims any beneficial ownership of such Shares, except to the extent of its pecuniary interests therein. On December 17, 2020, JAB Holdings agreed to contribute down to Acorn Top Holding B.V., an indirect subsidiary of JAB Holdings ("ATH"), equity interests of Acorn Holdings B.V., a direct subsidiary of ATH, that were held directly by JAB Holdings. /s/ Joachim Creus, Director of JAB Holdings B.V. in its capacity as Managing Director of Acorn Top Holding B.V.; /s/ Frank Engelen, Director of JAB Holdings B.V. in its capacity as Managing Director of Acorn Top Holding B.V. 2020-12-17 /s/ Luuk Hoogeveen, Director of Maple Holdings B.V.; /s/ Leo Burgers, Director of Maple Holdings B.V. 2020-12-17 /s/ Joachim Creus, Proxy Holder of Acorn Holdings B.V. 2020-12-17 /s/ Joachim Creus, Director of JAB Holdings B.V. in its capacity as Managing Director of JAB Forest B.V.; /s/ Frank Engelen, Director of JAB Holdings B.V. in its capacity as Managing Director of JAB Forest B.V. 2020-12-17