0001104659-21-032936.txt : 20210308 0001104659-21-032936.hdr.sgml : 20210308 20210308062459 ACCESSION NUMBER: 0001104659-21-032936 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210304 FILED AS OF DATE: 20210308 DATE AS OF CHANGE: 20210308 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: 21720551 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: JAB Beverage Platform 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: 21720552 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 FORMER NAME: FORMER CONFORMED NAME: Acorn Top Holding B.V. DATE OF NAME CHANGE: 20201124 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 tm218847d2_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-03-04 0 0001418135 Keurig Dr Pepper Inc. KDP 0001833608 JAB Beverage Platform 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 2021-03-04 4 J 0 5424511 A 472909049 I See Footnote On March 4, 2021, JAB Holdings B.V. ("JAB Holdings") agreed to contribute down to JAB Beverage Platform B.V., an indirect subsidiary of JAB Holdings ("JAB Beverage Platform"), equity interests of Acorn Holdings B.V., a direct subsidiary of JAB Beverage Platform, that were held directly by JAB Holdings. These shares of common stock, par value $0.01 per share (the "Shares"), of Keurig Dr Pepper Inc. are held by JAB BevCo B.V. ("JAB BevCo"), a direct or indirect subsidiary of each Reporting Person herein. As such, each Reporting Person herein may be deemed a beneficial owner of Shares held by JAB BevCo. Each of the Reporting Persons disclaims any beneficial ownership of such Shares, except to the extent of its pecuniary interests therein. /s/ Joachim Creus, Director of JAB Holdings B.V. in its capacity as Managing Director of JAB Beverage Platform B.V.; /s/ Frank Engelen, Director of JAB Holdings B.V. in its capacity as Managing Director of JAB Beverage Platform B.V. 2021-03-08 /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. 2021-03-08