Form 4 GAP INC For: Nov 11 Filed by: Gardner Tracy
November 12, 2015 5:32 PM EST
FORM
4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Expires: |
December 31, 2014 |
Estimated average burden |
hours per response: |
0.5 |
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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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1. Name and Address of Reporting Person
*
(Street)
SAN FRANCISCO |
CA |
94105-1205 |
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2. Issuer Name
and
Ticker or Trading Symbol
GAP INC
[
GPS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 11/11/2015
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check
Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting
Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1.
Title of Security (Instr.
3)
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2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction 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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Code |
V |
Amount |
(A) or (D) |
Price |
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 Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction 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
(Month/Day/Year) |
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 Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
Stock Units
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$
0
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11/11/2015 |
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A |
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5,257.00
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Common Stock
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5,257
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$
0
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5,257
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D
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Explanation of Responses: |
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By: Marie Ma, Power of Attorney For: Tracy Gardner |
11/12/2015 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* 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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
EXHIBIT 24
POWER OF ATTORNEY
I, Tracy Gardner, hereby constitute and appoint David Jedrzejek, Thomas J.
Lima, Marie Ma and Lisa Mertens, with the power to sign alone, as my true and
lawful attorney-in-fact to act for me in my capacity as an officer and/or
director of THE GAP, INC. (the Company) to:
1. Sign and file the Uniform Application for Access Codes on Edgar;
2. Prepare, sign and file Forms 3, 4 and 5 in furtherance of satisfying my
obligations under Section 16(a) of the Securities Exchange Act of 1934
(the 1934 Act) with respect to Company securities;
3. Prepare, sign and file notices on Form 144 in furtherance of satisfying
my obligations, if any, under Rule 144 under the Securities Exchange
Act of 1933 (the 1933 Act) with respect to Company securities; and
4. Execute and deliver any and all documents, take any and all steps and do
any and all things that my attorney in fact may deem necessary or
appropriate in furtherance of the purposes stated in (1), (2) and (3)
above.
I hereby grant to each attorney-in-fact full power and authority to do
and perform any act that he or she deems necessary or appropriate in the
exercise of any of the rights and powers granted by this Power of Attorney, as
fully to all intents and purposes as I might or could do if personally
present, with full power of substitution or revocation. I acknowledge that
neither my attorneys-in-fact nor the Company is assuming any of my
responsibilities and obligations to comply with the 1933 Act, the 1934 Act and
the rules thereunder.
This Power of Attorney will remain in effect until I am no longer
required to file Forms 3, 4, 5 or 144 with respect to Company securities,
except that I reserve the right to revoke this Power of Attorney by written
notice delivered to my attorneys in fact and the Company.
Date: November 4, 2015 /s/ Tracy Gardner
Tracy Gardner
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