Initial Statement of Beneficial Ownership (3)
2017年10月12日 - 7:08AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
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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
*
Hayes John V.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
10/1/2017
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3. Issuer Name
and
Ticker or Trading Symbol
BROWN FORMAN CORP [BFA, BFB]
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(Last)
(First)
(Middle)
850 DIXIE HIGHWAY
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
SVP, Chief Marketing Officer /
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(Street)
LOUISVILLE, KY 40210
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Class A Common
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2164
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D
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Class A Common
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111
(1)
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I
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ESPP
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Class A Common
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4210
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I
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Hayes Investments LLC
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Class B Common
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7609
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D
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Class B Common
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5894
(2)
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I
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By 401k
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Class B Common
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4
(1)
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I
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ESPP
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Class B Common
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20314
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I
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Hayes Investments LLC
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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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Stock Appreciation Right
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5/1/2011
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4/30/2018
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Class B Common
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16926.0
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$17.755
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D
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Stock Appreciation Right
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5/1/2012
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4/30/2019
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Class B Common
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25998.0
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$13.525
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D
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Stock Appreciation Right
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5/1/2013
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4/30/2020
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Class B Common
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21820.0
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$19.215
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D
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Stock Appreciation Right
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5/1/2014
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4/30/2021
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Class B Common
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22702.0
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$23.2
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D
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Stock Appreciation Right
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5/1/2015
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4/30/2022
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Class B Common
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17122.0
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$29.35
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D
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Stock Appreciation Right
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5/1/2016
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4/30/2023
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Class B Common
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7082.0
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$36.21
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D
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Stock Appreciation Right
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5/1/2017
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4/30/2024
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Class B Common
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5654.0
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$45.985
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D
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Stock Appreciation Right
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5/1/2018
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4/30/2025
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Class B Common
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7216.0
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$51.125
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D
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Stock Appreciation Right
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5/1/2019
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4/30/2026
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Class B Common
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9952.0
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$49.005
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D
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Stock Appreciation Right
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5/1/2020
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4/30/2027
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Class B Common
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8395.0
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$50.63
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D
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Explanation of Responses:
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(1)
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Number of shares acquired through the issuer's employee stock purchase program as of October 11, 2017.
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(2)
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Number of shares acquired through the issuer's 401(k) plan as of October 11, 2017.
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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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Hayes John V.
850 DIXIE HIGHWAY
LOUISVILLE, KY 40210
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SVP, Chief Marketing Officer
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Signatures
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Michael E. Carr, Jr., Attorney in Fact for John V. Hayes
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10/11/2017
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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 5(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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