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