0001562180-17-003695.txt : 20171130 0001562180-17-003695.hdr.sgml : 20171130 20171130131738 ACCESSION NUMBER: 0001562180-17-003695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171128 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fisher Cynthia A CENTRAL INDEX KEY: 0001550860 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14092 FILM NUMBER: 171230689 MAIL ADDRESS: STREET 1: 186 PARK STREET CITY: NEWTON STATE: MA ZIP: 02458 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BOSTON BEER CO INC CENTRAL INDEX KEY: 0000949870 STANDARD INDUSTRIAL CLASSIFICATION: MALT BEVERAGES [2082] IRS NUMBER: 043284048 STATE OF INCORPORATION: MA FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: ONE DESIGN CENTER PLACE STREET 2: SUITE 850 CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 617-368-5056 MAIL ADDRESS: STREET 1: ONE DESIGN CENTER PLACE STREET 2: SUITE 850 CITY: BOSTON STATE: MA ZIP: 02210 4 1 primarydocument.xml PRIMARY DOCUMENT X0306 4 2017-11-28 false 0000949870 BOSTON BEER CO INC SAM 0001550860 Fisher Cynthia A 186 PARK STREET NEWTON MA 02458 true false false false Class A Common 2017-11-28 5 G false E 21000.00 0.00 A 23000.00 I By Foundation managed by Reporting Person's Spouse Class A Common 44248.00 I By LLC managed by Reporting Person Class A Common 27437.00 I By LLC managed by Reporting Person Class A Common 23486.00 I By spouse as custodian for children under UGTMA Class A Common 3656.00 I Custodian for children under UGTMA Class A Common 2532.00 I As trustee in trust for children This transaction is a Form 5 transaction being voluntarily reported early. On the Transaction Date, the Reporting Person's spouse gifted 21,000 shares from his direct ownership into a foundation that the Reporting Person's spouse controls. The Reporting Person serves on the Board of Directors of the foundation, but disclaims beneficial ownership of the shares. The shares are held by an LLC managed by the Reporting Person and owned by Trusts established for the benefit of the Reporting Person's children and the Reporting Person's spouse's children. The Reporting Person is the Trustee or Co-Trustee for each Trust. The shares are held by West Summit Grand LLC, a limited liability company managed by the Reporting Person. The Reporting Person expressly disclaims beneficial ownership of the securities except to the extent of her pecuniary interest therein. Michael G. Andrews under POA for the benefit of Cynthia A. Fisher 2017-11-30