SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
12/31/2018
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3. Issuer Name and Ticker or Trading Symbol
CONNS INC
[ CONN ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. 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 Beneficially Owned |
|---|
| 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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| Common Stock |
128,450 |
D |
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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 Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
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: 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 |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
| Remarks: |
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|
Todd Ferguson, attorney in fact for reporting person |
01/10/2019 |
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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
5
(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. |
POWER OF ATTORNEY
for Executing Forms 3, 4 and 5 and
Schedules 13G and 13D
KNOW ALL PERSONS BY THESE PRESENTS,
that the undersigned hereby
constitutes and appoints each of
David Knight, William Keisler,
Kevin Burns, Todd Ferguson, Kim
Fowler, Molly Deere, and Jason
Nadeau the undersigned's true and
lawful attorneys-in-fact to:
(1) execute, for and on behalf of
the undersigned, any one or more
Forms 3, 4, and 5 in accordance with
Section 16(a) of the Securities and
Exchange Act of 1934, as amended
(the "34 Act"), and the rules
thereunder; and Schedules 13G and 13D,
and amendments thereto, in accordance
with Section 13 of the 34 Act and
the rules thereunder;
(2) do and perform any and all acts,
for and on behalf of the undersigned,
that may be necessary or desirable to
complete the execution of any such
Form 3, 4 or 5 or Schedules 13G
and 13D, and any amendments thereto,
and the timely filing of such forms
and schedules with the United States
Securities and Exchange Commission
and any other authority; and
(3) take any other action of any type
whatsoever in connection with the
foregoing that, in the opinion of any
such attorney-in-fact, may be of
benefit to, in the best interest of,
or legally required by, the
undersigned, it being understood that the
documents executed by such
attorney-in-fact on behalf of the
undersigned, pursuant to this Power
of Attorney shall be in such form and
shall contain such terms and
conditions as such attorney-in-fact
may approve.
The undersigned hereby grants to each
of the foregoing attorneys-in-fact,
individually, full power and authority
to do and perform every act and thing
whatsoever requisite, necessary,
and proper to be done in the exercise
of any of the rights and powers herein
granted, as fully to all intents and
purposes as the undersigned might or
could do if personally present, with
full power of substitution or
revocation, hereby ratifying and
confirming all that such
attorneys-in-fact, or their
substitutes, shall lawfully do or
cause to be done by virtue of this
Power of Attorney and the rights and
powers herein granted.
IN WITNESS WHEREOF, the undersigned
has caused this Power of Attorney to
be executed as of this 2nd day of
January, 2019.
John C. Stephens WAS Grantor Trust
By: /s/ John C. Stephens
John C. Stephens, Trustee
