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DELAWARE
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002-90139
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94-0905160
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(State or Other Jurisdiction of
Incorporation)
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(Commission
File Number)
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(I.R.S. Employer
Identification No.)
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¨
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Written communication pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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¨
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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¨
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Pre-commencement communication pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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¨
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Pre-commencement communication pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240. 13e-4(c))
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ITEM 5.02
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Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
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ITEM 9.01.
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Financial Statements and Exhibits.
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10.1
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Separation Agreement and General Release between Anne Rohosy and the Company, effective as of March 4, 2016.
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LEVI STRAUSS & CO.
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DATE:
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March 10, 2016
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By:
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/s/ W
ADE
W. W
EBSTER
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Name:
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Wade W. Webster
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Title:
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Senior Vice President and Controller
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Exhibit Number
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Description
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10.1
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Separation Agreement and General Release between Anne Rohosy and the Company, effective as of March 4, 2016.
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A.
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Separation Payments
. LS&Co. will pay to Rohosy separation payments equal to fifty-two (52) weeks of base pay through regular periodic wage payments, less applicable taxes and withholding made in the course of the Company's regular payroll cycles, with such payments commencing the payroll period following the Separation Date and the seven (7) day revocation period (described in Section 11 below). The period during which Rohosy receives separation payments shall be called the "Separation Period." In further consideration of this Agreement, LS&Co. shall calculate and pay Rohosy the financial performance component under the Company's fiscal 2015 Annual Incentive Plan ("AlP") that Rohosy would have otherwise earned, with such amount to be paid at the same time as all other employees. The individual performance component of AlP will be assigned zero percent (0%) for purposes of the AlP calculation. These payments will only be made after all of the following conditions are met: (i) Rohosy's employment has terminated; (ii) LS&Co. has received the original of this Agreement bearing Rohosy's signature; and (iii) any applicable revocation period has passed without revocation having occurred. Provided however, if Rohosy dies before all Separation Payments are made, all remaining payments will be made to Rohosy's estate in a lump-sum on the sixtieth (60
th
) day after Rohosy's death, provided that the Company may delay such payments until it is provided with proof of Rohosy's death.
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B.
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Equity Incentive Plan Payment and Eligibility
. In accordance with the terms of the 2006 Equity Incentive Plan (the "EIP"), Rohosy shall retain any rights to exercise her vested
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C.
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Medical Coverage Continuation
. Rohosy's and her eligible dependents' medical coverage will end on March 31, 2016. Rohosy may continue group health benefits for herself and her eligible dependents pursuant to the Consolidated Omnibus Budget Reconciliation Act ("COBRA"). If she and her eligible dependents timely enroll in COBRA coverage, LS&Co. will pay the same percentage of the monthly cost of the COBRA medical coverage, as it paid for Rohosy (and her covered dependents) medical coverage during her active employment for up to the earlier of twelve (12) months, or the date when Rohosy obtains replacement coverage from another employer. During the period of coverage subsidized by LS&Co., Rohosy will be responsible for payment of the remainder of the cost of COBRA medical coverage, and for the full cost any dental or vision coverage she or any member of her family elects. Any failure by Rohosy to pay her portion of coverage will result in termination of continuation coverage. Any period of subsidized coverage shall be counted toward the 18 month COBRA entitlement. After the period of subsidized COBRA ends, Rohosy will be responsible for full payment of her entire COBRA premium. Continuation of COBRA will not extend beyond the date in which Rohosy becomes eligible for coverage under another group health plan unless the new plan has pre-existing condition limitation, or Rohosy is entitled to Medicare. Rohosy agrees to promptly inform LS&Co. as soon as she becomes covered by another employer. Nothing in this paragraph or elsewhere in this Agreement waives or otherwise releases Rohosy's rights under COBRA or any similar state laws (if Rohosy is eligible) or to receive a certificate of creditable coverage (or such other similarly entitled document) under the Health Insurance Portability and Accountability Act of 1996 ("HIPPA"), from the plan that Rohosy participates in at the time she elects COBRA coverage.
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D.
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Outplacement Services
. For a period of one year after the Separation Date, Rohosy shall have access to executive outplacement services by a firm selected by the Company. However, Rohosy must commence use of such services within three (3) months of the Separation Date.
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E.
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Other Benefits
. Rohosy shall be entitled to all rights under Company's benefit plans as such plans, by their provisions, apply upon the Separation Date. Unless expressly provided to the contrary under the written terms of the benefit plans, all of Rohosy's benefits terminate on the Separation Date, including participation in the 401K plan and Deferred Compensation Plan. Rohosy may exercise all rights to any vested benefit in accordance with the written terms of the benefit plans.
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A.
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In consideration of the Separation Benefits described in Section 2 above, Rohosy agrees to release and forever discharge LS&Co., its subsidiaries and affiliates, and each of its and their parent organizations, predecessors, successors and assigns, and all of its and their past and present officers, directors, employees, agents, attorneys, associates, insurers and employee benefit plans (hereinafter collectively "Company Releasees") from any and all claims, demands, liabilities, damages or causes of action arising out of facts or occurrences before the date Rohosy signs this Separation Agreement, whether known or unknown to her, including claims arising out of her employment with the Company or any of its wholly-owned U.S. subsidiaries (hereinafter collectively the "Employer'') and her separation from employment (hereinafter collectively "Claims"), provided however, that Rohosy is not waiving any of her indemnification rights that are set forth below in Section 12 of this Agreement.
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B.
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Rohosy understands that by releasing the Company Releasees from each and every Claim, she is giving up rights to bring all Claims against any Company Releasee based on any action, decision or event occurring before the date this Separation Agreement is signed. This release covers all Claims against the Company Releasees, including, but not limited to, those arising under tort, contract and local, state or federal statute, including, but not limited to, Title VII of the Civil Rights Act of 1964, as amended; the Equal Pay Act, as amended; Section 1981 of the Civil Rights of 1864, as amended; the Age Discrimination in Employment Act, as amended (the "ADEA"); the Older Workers Benefit Protection Act; the Employee Retirement Income Security Act, as amended; the Family and Medical Leave Act of 1993; the Fair Labor Standards Act, as amended; the Americans with Disabilities Act, as amended; the Worker Adjustment and Retraining Notification Act; whistleblower protection statutes; and any other federal, state, tribal or local law, statute, regulation or ordinance concerning employment, including termination of employment, including, but not limited to, laws prohibiting discrimination based on age, race, creed, color, religion, national origin, sex, disability, HIV/AIDS status, genetic information, marital status, sexual orientation, military service or veteran status or any other protected classification; and claims for monetary damages, attorneys' fees, litigation costs or other monetary relief.
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C.
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Rohosy understands that, notwithstanding the above, nothing in this Separation Agreement is intended to unlawfully release or waive any of her rights under any laws or to prevent, impede, or interfere with her ability or right to: (a) provide truthful testimony if under subpoena to do so, (b) file a charge with any state or federal agency or participate or cooperate in an agency investigation (except that she acknowledges that she cannot recover money in connection with any such charge or investigation), (c) challenge the validity of release of claims set forth in this Separation Agreement, or (d) pursue any rights or claims that may arise after the date this Separation Agreement is signed.
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D.
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Section 1542 Waiver
. Rohosy understands and agrees that this release covers not only claims presently known to her, but also all unknown or unanticipated claims, rights, demands, actions, obligations, liabilities, and causes of action of every kind and character that would otherwise come within the scope of the released claims. Rohosy understands that she may hereafter discover facts different from what she now believes to be true which, if known, could have materially affected this Agreement, but she nevertheless waives any claims or rights based on different or additional facts. Rohosy knowingly and voluntarily waives any and all rights or benefits under the terms of Section 1542 of the Civil Code of the State of California, which provides:
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A.
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For purposes of this Agreement, "Section 409A" means Section 409A of the Internal Revenue Code of 1986, as amended, and the final regulations and any guidance promulgated thereunder or any state law equivalent.
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B.
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Notwithstanding any other provision of this Agreement to the contrary, in no event shall any payment under this Agreement that constitutes "nonqualified deferred compensation" for purposes of Code Section 409A be subject to offset by any other amount unless otherwise permitted by Code Section 409A.
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C.
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The foregoing provisions are intended to be exempt from or comply with the requirements of Section 409A so that none of the severance payment and benefits to be provided hereunder will be subject to the additional tax imposed under Section 409A, and any ambiguities or ambiguous terms herein will be interpreted to be exempt or so comply. In no event will the Company reimburse Rohosy for any taxes that may be imposed on Rohosy as a result of Section 409A.
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