0000098246-21-000028.txt : 20210111 0000098246-21-000028.hdr.sgml : 20210111 20210111171809 ACCESSION NUMBER: 0000098246-21-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210107 FILED AS OF DATE: 20210111 DATE AS OF CHANGE: 20210111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FARAH ROGER N CENTRAL INDEX KEY: 0001112072 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09494 FILM NUMBER: 21521617 MAIL ADDRESS: STREET 1: POLO RALPH LAUREN CORP STREET 2: 650 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TIFFANY & CO CENTRAL INDEX KEY: 0000098246 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-JEWELRY STORES [5944] IRS NUMBER: 133228013 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 727 FIFTH AVE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2127558000 MAIL ADDRESS: STREET 1: 727 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 wf-form4_161040347325630.xml FORM 4 X0306 4 2021-01-07 1 0000098246 TIFFANY & CO TIF 0001112072 FARAH ROGER N TIFFANY & CO. 727 FIFTH AVENUE NEW YORK NY 10022 1 0 0 1 Chairman of the Board Common Stock $.01 Par 2021-01-07 4 D 0 25409 131.50 D 0 D Common Stock $.01 Par 2021-01-07 4 D 0 10000 131.50 D 0 I By Family Trust Non-Qualified Stock Option (Right to Buy) 93.53 2021-01-07 4 D 0 9489 D 2029-06-04 Common Stock $.01 Par 9489.0 0 D Non-Qualified Stock Option (Right to Buy) 126.44 2021-01-07 4 D 0 8395 D 2028-05-24 Common Stock $.01 Par 8395.0 0 D Non-Qualified Stock Option (Right to Buy) 85.82 2021-01-07 4 D 0 6749 D 2027-05-25 Common Stock $.01 Par 6749.0 0 D Disposed of pursuant to the Amended and Restated Agreement and Plan of Merger, dated as of October 28, 2020, by and among Tiffany & Co. (the "Company"), LVMH Moet Hennessy-Louis Vuitton SE ("Parent"), Breakfast Holdings Acquisition Corp. ("Holding") and Breakfast Acquisition Corp. ("Merger Sub") (the "Merger Agreement"), which amended and restated the Agreement and Plan of Merger, dated as of November 24, 2019, by and among the Company, Parent, Holding and Merger Sub, in exchange for $131.50 per share in cash, without interest and less any required withholding taxes (the "Per Share Merger Consideration"). The total number of shares disposed of included 10,355 unvested restricted stock units ("RSUs"), and 5,054 vested RSUs (which includes dividend equivalent units credited in respect of such vested RSUs) as to which the director elected to defer the maturity date (and thereby the delivery of the related shares). Pursuant to the Merger Agreement, each outstanding option, whether vested or unvested, was canceled and converted into the right to receive an amount in cash, without interest and less any required withholding taxes, equal to the product of (i) the excess, if any, of (A) the Per Share Merger Consideration over (B) the per-share exercise price for such option, multiplied by (ii) the total number of shares underlying such option. /s/ Catherine W.H. So, Attorney-in-Fact 2021-01-11