0000899243-21-046415.txt : 20211201 0000899243-21-046415.hdr.sgml : 20211201 20211201163107 ACCESSION NUMBER: 0000899243-21-046415 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211201 FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STUTZ CARIN CENTRAL INDEX KEY: 0001115887 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39012 FILM NUMBER: 211463388 MAIL ADDRESS: STREET 1: C/O BRINKER INTERNATIONAL, INC. STREET 2: 6820 LBJ FREEWAY CITY: DALLAS STATE: TX ZIP: 75240 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KURA SUSHI USA, INC. CENTRAL INDEX KEY: 0001772177 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 263808434 STATE OF INCORPORATION: DE FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 17461 DERIAN AVE. STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 9497481786 MAIL ADDRESS: STREET 1: 17461 DERIAN AVE. STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-01 0 0001772177 KURA SUSHI USA, INC. KRUS 0001115887 STUTZ CARIN C/O KURA SUSHI USA, INC. 17461 DERIAN AVE, SUITE 200 IRVINE CA 92614 1 0 0 0 Option to Purchase Class A Common Stock 63.60 2021-12-01 4 A 0 3000 0.00 A 2031-12-01 Class A Common Stock 3000 3000 D Represents an Option granted on December 1, 2021 under the Issuer's 2018 Incentive Compensation Plan, 25% of which will vest one year from the date of the grant with the remaining 75% vesting quarterly over 36 months commencing from December 1, 2022. /s/ Steven H. Benrubi, Attorney-in-Fact for Carin L. Stutz 2021-12-01