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)
05/01/2019
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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 |
143,334 |
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 |
05/13/2019 |
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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 any Schedules 13G and 13D, and
amendments thereto, in accordance with Section 13
of the 34 Act and the rules thereunder, and any
applications for Form IDs and other filer codes as
may be necessary to file such forms and schedules
with the Securities and Exchange Commission; and
(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 7th day of May, 2019.
Laura Whitaker Stephens Family Trust One
By:/s/ Harriet C. Stephens
Harriet C. Stephens, Trustee
