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