0000899243-21-004724.txt : 20210203 0000899243-21-004724.hdr.sgml : 20210203 20210203173905 ACCESSION NUMBER: 0000899243-21-004724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210201 FILED AS OF DATE: 20210203 DATE AS OF CHANGE: 20210203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Asako Shintaro CENTRAL INDEX KEY: 0001349107 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39012 FILM NUMBER: 21587527 MAIL ADDRESS: STREET 1: 1301 SECOND AVENUE STREET 2: SUITE 4200 CITY: SEATTLE STATE: WA ZIP: 98101 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 2021-02-01 0 0001772177 KURA SUSHI USA, INC. KRUS 0001349107 Asako Shintaro 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 22.65 2021-02-01 4 A 0 3290 0.00 A 2031-02-01 Class A Common Stock 3290 3290 D The Option is granted under the issuer's 2018 Incentive Compensation Plan. The Option shares will vest and become exercisable in full on the date that is 12 months following the date of grant. /s/ Asako Shintaro by Hajime Uba as the attorney-in-fact 2021-02-03