SEC Form 4
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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hilson Joan M

(Last) (First) (Middle)
CLARENDON HOUSE
2 CHURCH STREET

(Street)
HAMILTON HM 11

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SIGNET JEWELERS LTD [ SIG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
* See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
03/22/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares, par value $0.18 03/22/2022 F 1,818(1) D $82.46(2) 274,113(3) D
Common Shares, par value $0.18 03/24/2022 S 5,000(4) D $80 269,113(3)(5) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Reflects the number of shares withheld for tax purposes upon vesting of 1/3 of the restricted stock units granted on March 22, 2021.
2. Reflects the average of the high and low sale price of the common shares on the date of vest.
3. Due to an administrative error, the reporting person's Form 4 filed on March 17, 2022 inadvertently under-reported the number of shares withheld to satisfy tax withholding obligations by 625 shares. As a result, such shares were inadvertently included in the total amounts reported in Column 5 on the reporting person's Forms 4 filed on March 17, 2022 and March 22, 2022. This Form 4 reflects the corrected total beneficial ownership for this reporting person.
4. This transaction was effected pursuant to a Rule 10b5-1 trading plan entered into in good faith by the Reporting Person on October 15, 2021 for investment diversification purposes.
5. Includes 4,864 restricted shares and 178,752 restricted stock units, both of which are subject to certain vesting and forfeiture provisions.
Remarks:
Chief Financial and Strategy Officer
J. Matthew Shady, Attorney in Fact 03/24/2022
** 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.