Annual Statement of Changes in Beneficial Ownership (5)
15 September 2016 - 7:24AM
Edgar (US Regulatory)
FORM 5
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden
hours per response...
1.0
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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
*
vanBeuren Archbold D
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2. Issuer Name
and
Ticker or Trading Symbol
CAMPBELL SOUP CO [CPB]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
1 CAMPBELL PLACE
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
7/31/2016
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(Street)
CAMDEN, NJ 08103
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
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7. Nature of Indirect Beneficial Ownership
(Instr. 4)
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Amount
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(A) or (D)
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Price
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Common Stock
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4/1/2015
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G5
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56000
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D
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$0
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1009880
(1)
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I
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Family investment partnership
(2)
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Common Stock
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4/1/2015
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G5
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56000
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A
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$0
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61998
(1)
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I
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ADvB 2009 GRAT
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Common Stock
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7/13/2015
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G5
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23279
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D
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$0
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38719
(3)
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I
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ADvB 2009 GRAT
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Common Stock
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7/13/2015
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G5
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23279
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A
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$0
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950188
(3)
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I
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ADvB Revocable Trust
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Common Stock
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10/20/2015
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G
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9054
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D
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$0
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6617
(4)
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I
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ADvB 2013 GRAT
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Common Stock
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10/20/2015
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G
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9054
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A
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$0
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959242
(4)
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I
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ADvB Revocable Trust
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Common Stock
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1/4/2016
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G
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50000
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D
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$0
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959880
(5)
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I
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Family investment partnership
(2)
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Common Stock
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1/4/2016
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G
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50000
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A
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$0
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88719
(5)
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I
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ADvB 2009 GRAT
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Common Stock
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2/11/2016
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G
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66
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A
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$0
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1024
(6)
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I
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Family management company
(7)
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Common Stock
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6/30/2016
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G
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175000
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D
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$0
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784880
(8)
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I
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Family investment partnership
(2)
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Common Stock
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6/30/2016
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G
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175000
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A
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$0
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263719
(8)
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I
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ADvB 2009 GRAT
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Common Stock
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7/1/2016
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G
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170913
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D
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$0
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92806
(9)
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I
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ADvB 2009 GRAT
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Common Stock
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7/1/2016
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G
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170913
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A
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$0
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1130155
(9)
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I
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ADvB Revocable Trust
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
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11. Nature of Indirect Beneficial Ownership
(Instr. 4)
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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56,000 shares were transferred from Arnott Investment Partners LP ("Arnott"), a family investment partnership in which the Reporting Person owns an interest, to the ADvB 2009 GRAT, a GRAT established by the Reporting Person. The Reporting Person's beneficial ownership and pecuniary interest in the shares did not change as a result of the contribution from Arnott to the GRAT.
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(
2)
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vB Managers, is a family management company that both owns Common Stock and is the general partner of Arnott, the family investment partnership reported on this line that also owns shares of Common Stock. The Reporting Person owns a fractional interest in vB Managers and limited partnership interests in Arnott. The Reporting Person disclaims beneficial ownership of securities owned by Arnott except to the extent of his pecuniary interest therein.
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(
3)
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23,279 shares were transferred from the ADvB 2009 GRAT to the Archbold D. van Beuren Revocable Trust, a revocable trust established by the Reporting Person and of which the Reporting Person is the trustee and beneficiary. The Reporting Person's beneficial ownership and pecuniary interest in the shares did not change as a result of the contribution from the GRAT to the Revocable Trust.
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(
4)
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9,054 shares were transferred from the ADvB 2013 GRAT to the Archbold D. van Beuren Revocable Trust. The Reporting Person's beneficial ownership and pecuniary interest in the shares did not change as a result of the contribution from the GRAT to the Revocable Trust.
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(
5)
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50,000 shares were transferred from Arnott, to the Archbold D. van Beuren Revocable Trust. The Reporting Person's beneficial ownership and pecuniary interest in the shares did not change as a result of the contribution from Arnott to the Revocable Trust.
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(
6)
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66 shares were transferred to vB Managers from a Charitable Lead Annuity Trust ("CLAT") established by the Reporting Person's late father. The Reporting Person is a beneficiary under the CLAT, but does not have a beneficial interest in the Common Stock held by the CLAT until such Common Stock is distributed to him pursuant to the terms of the CLAT or until the CLAT expires.
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(
7)
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vB Managers is a family management company that owns Common Stock. The Reporting Person owns a fractional interest in vB Managers and the shares reported on this line represent the shares in which the Reporting Person has a pecuniary interest, based on his fractional ownership of vB Managers. The Reporting Persons disclaims beneficial ownership of securities held by vB Managers except to the extent of his pecuniary interest therein.
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(
8)
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175,000 shares were transferred from Arnott to the ADvB 2009 GRAT. The Reporting Person's beneficial ownership and pecuniary interest in the shares did not change as a result of the contribution from Arnott to the GRAT.
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(
9)
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170,913 shares were transferred from the ADvB 2009 GRAT to the Archbold D. van Beuren Revocable Trust. The Reporting Person's beneficial ownership and pecuniary interest in the shares did not change as a result of the contribution from the GRAT to the Revocable Trust.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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vanBeuren Archbold D
1 CAMPBELL PLACE
CAMDEN, NJ 08103
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X
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Signatures
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Tara L. Smith, Attorney-in-Fact
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9/14/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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