0001209191-23-041545.txt : 20230706
0001209191-23-041545.hdr.sgml : 20230706
20230706162855
ACCESSION NUMBER: 0001209191-23-041545
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230703
FILED AS OF DATE: 20230706
DATE AS OF CHANGE: 20230706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gamgort Robert James
CENTRAL INDEX KEY: 0001570836
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33829
FILM NUMBER: 231073937
MAIL ADDRESS:
STREET 1: KEURIG DR PEPPER INC.
STREET 2: 6425 HALL OF FAME LANE
CITY: FRISCO
STATE: TX
ZIP: 75034
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
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-07-03
0
0001418135
Keurig Dr Pepper Inc.
KDP
0001570836
Gamgort Robert James
6425 HALL OF FAME LANE
FRISCO
TX
75034
1
1
0
0
CEO & Executive Chairman
0
Common Stock
2023-07-03
4
M
0
248808
0.00
A
2668664
D
Common Stock
2023-07-03
4
F
0
102991
31.47
D
2565673
D
Common Stock
2023-07-03
4
M
0
248808
0.00
A
2814481
D
Common Stock
2023-07-03
4
F
0
102991
31.47
D
2711490
D
Common Stock
1000000
I
By GRAT
Restricted Stock Unit
2023-07-03
4
M
0
248808
0.00
D
Common Stock
248808
0
D
Restricted Stock Unit
2023-07-03
4
M
0
248808
0.00
D
Common Stock
248808
0
D
Restricted Stock units convert into common stock on a one-for-one basis.
Reflects shares transferred between the reporting person and a grantor retained annuity trust, which was exempt from reporting pursuant to Rule 16a-13.
Shares withheld for payment of applicable taxes upon vesting of RSUs in accordance with Rule 16b-3.
As previously disclosed, these RSUs were acquired by the reporting person as a result of the conversion of restricted stock units of Maple Parent Holdings Corp. ("Maple") to restricted stock units of the Issuer pursuant to the Agreement and Plan of Merger, dated as of January 29, 2018, by and among Maple, Dr Pepper Snapple Group, Inc. and Salt Merger Sub, Inc. The RSUs vested in full on July 3, 2023.
/s/ Mark Jackson, attorney in fact
2023-07-06