SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/06/2023 |
3. Issuer Name and Ticker or Trading Symbol
Keurig Dr Pepper Inc. [ KDP ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 50,848 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Restricted Stock Unit | (1) | (1) | Common Stock | 12,431 | 0 | D | |
Restricted Stock Unit | (2) | (2) | Common Stock | 11,008 | 0 | D | |
Restricted Stock Unit | (3) | (3) | Common Stock | 2,499 | 0 | D | |
Restricted Stock Unit | (4) | (4) | Common Stock | 13,684 | 0 | D | |
Restricted Stock Unit | (5) | (5) | Common Stock | 8,165 | 0 | D | |
Restricted Stock Unit | (6) | (6) | Common Stock | 8,680 | 0 | D | |
Restricted Stock Unit | (7) | (7) | Common Stock | 4,350 | 0 | D | |
Restricted Stock Unit | (8) | (8) | Common Stock | 11,517 | 0 | D |
Explanation of Responses: |
1. Subject to certain vesting conditions and exceptions, these restricted stock units vest in three installments as follows: 60% on March 1, 2026; 20% on March 1, 2027, and 20% on March 1, 2028. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
2. Subject to certain vesting conditions and exceptions, these restricted stock units vest in three installments as follows: 60% on March 2, 2025; 20% on March 2, 2026, and 20% on March 2, 2027. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
3. Subject to certain vesting conditions and exceptions, these restricted stock units vest in three installments as follows: 60% on September 14, 2024; 20% on September 14, 2025, and 20% on September 14, 2026. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
4. Represents matching restricted stock units ("Matching RSUs") granted to the Reporting Person in connection with the Issuer's Elite Investment Program. These Matching RSUs vest on September May 26, 2026 ("Vesting Date"), subject to continued service with the Issuer and other vesting conditions. In addition, all or a portion of the Matching RSUs may be forfeited by the Reporting Person if specified stock ownership requirements are not maintained to the Vesting Date. Each Matching RSU represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
5. Subject to certain vesting conditions and exceptions, these restricted stock units vest in three installments as follows: 60% on March 3, 2024; 20% on March 3, 2025, and 20% on March 3, 2026. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
6. Subject to certain vesting conditions and exceptions, these restricted stock units vest in two equal installments as follows: 50% on September 15, 2024, and 50% on September 15, 2025. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
7. Subject to certain vesting conditions and exceptions, these restricted stock units vest in two equal installments as follows: 50% on March 12, 2024, and 50% on March 12, 2025. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
8. Subject to certain vesting conditions and exceptions, these restricted stock units vest in full on March 24, 2024. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting. |
Remarks: |
/s/ Mark Jackson, attorney in fact | 11/16/2023 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |