|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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 control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
|||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COORS PETER H 1801 CALIFORNIA STREET, SUITE 4600 DENVER, CO 80202 |
 |  |  Chief Customer Relations Off | Chairman of the Board |
Kathleen M. Kirchner, Power of Attorney | 02/14/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | On June 9, 2017, the Peter H. Coors 2013 Grantor Annuity Trust XV terminated and in connection therewith, (i) 63,060 shares of Class B common stock were distributed to various descendants' trusts and (ii) 22,021 shares of Class B common stock were transferred to the Peter H. Coors 2017 Grantor Annuity Trust XXIV. In addition, on June 9, 2017, (A) the reporting person transferred 77,281 shares of Class B common stock to the Peter H. Coors 2017 Grantor Annuity Trust XXIV, and (B) 5,795 shares of Class B common stock were transferred from the Peter H. Coors 2013 Grantor Annuity Trust XIV to the Peter H. Coors 2017 Grantor Annuity Trust XXIV. |
(2) | On September 15, 2017, the Peter H. Coors 2013 Grantor Annuity Trust XVI terminated and in connection therewith, (i) 35,136 shares of Class B common stock were distributed to various descendants' trusts and (ii) 12,980 shares of Class B common stock were transferred directly to the reporting person. In addition, on September 15, 2017, (A) the Peter H. Coors 2015 Grantor Annuity Trust XXI transferred 12,915 shares of Class B common stock directly to the reporting person, and (B) the Peter H. Coors 2016 Grantor Annuity Trust XXII transferred 90,000 shares of Class B common stock directly to the reporting person. |
(3) | On December 11, 2017, the Peter H. Coors 2014 Grantor Annuity Trust XIX terminated and in connection therewith, (i) 21,324 shares of Class B common stock were distributed to various descendants' trusts and (ii) 35,183 shares of Class B common stock were transferred directly to the reporting person. |
(4) | Reflects the transfer of 151,078 shares of Class B common stock by the reporting person to PHC Funding LLC. |