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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 |
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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 1474 (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 Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Dividend Equivalent Rights (1) | $ 0 | 06/30/2017 | A | 947.927 | (2) | (3) | Common Stock | 947.927 | $ 0 | 2,090.2565 | D | ||||
Dividend Equivalent Rights (1) | $ 0 | 06/30/2017 | M | 376.7768 | (4) | (3) | Common Stock | 376.7768 | $ 0 | 1,713.4797 | D | ||||
Stock Units (5) | $ 0 | 06/30/2017 | A | 7,276 | (6) | (3) | Common Stock | 7,276 | $ 0 | 28,830 | D | ||||
Stock Units (5) | $ 0 | 06/30/2017 | M | 3,368 | (7) | (3) | Common Stock | 3,368 | $ 0 | 25,462 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SHATTUCK MAYO A III TWO FOLSOM ST SAN FRANCISCO, CA 94105-1205 |
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By: Marie Ma, Power of Attorney For: Mayo A. Shattuck, III | 07/05/2017 | |
**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) | Each dividend equivalent right is the economic equivalent of one share of Gap Inc. common stock. |
(2) | The dividend equivalent rights accrued on stock units originally granted on June 30, 2012, June 30, 2013, June 30, 2014, June 30, 2015 and June 30, 2016 and are immediately vested. Vested shares are delivered to the reporting person no sooner than 3 years from the date of grant, unless further deferred, or immediately upon cessation of service as a member of the Board, if earlier. |
(3) | Not applicable. |
(4) | These shares were issued in settlement of dividend equivalent rights accrued on stock units granted on June 30, 2014. |
(5) | Each stock unit represents a contingent right to receive one share of Gap Inc. common stock. |
(6) | Each stock unit is immediately vested. However, delivery of the shares is deferred until three years from the date of grant, unless further deferred, or immediately upon cessation of service as a member of the Board, if earlier. |
(7) | These shares were issued in settlement of stock units granted on June 30, 2014. |