0000899243-21-046589.txt : 20211202 0000899243-21-046589.hdr.sgml : 20211202 20211202170013 ACCESSION NUMBER: 0000899243-21-046589 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211201 FILED AS OF DATE: 20211202 DATE AS OF CHANGE: 20211202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BENRUBI STEVEN CENTRAL INDEX KEY: 0001413003 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39012 FILM NUMBER: 211467537 MAIL ADDRESS: STREET 1: C/O KURA SUSHI USA, INC. STREET 2: 17461 DERIAN AVENUE, SUITE 200 CITY: IRVINE STATE: CA ZIP: 92614 FORMER NAME: FORMER CONFORMED NAME: Steven Benrubi DATE OF NAME CHANGE: 20070920 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 0001413003 BENRUBI STEVEN C/O KURA SUSHI USA, INC. 17461 DERIAN AVE, SUITE 200 IRVINE CA 92614 0 1 0 0 Chief Financial Officer Class A Common Stock 2021-12-01 4 F 0 2421 63.60 D 4579 D Represents shares tendered to Kura Sushi USA, Inc. by Mr. Benrubi to satisfy his withholding tax liability for a restricted stock grant of 7,000 shares that vested on 12/1/2021. /s/ Steven H. Benrubi 2021-12-02