0000899243-20-020539.txt : 20200728 0000899243-20-020539.hdr.sgml : 20200728 20200728162808 ACCESSION NUMBER: 0000899243-20-020539 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200727 FILED AS OF DATE: 20200728 DATE AS OF CHANGE: 20200728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dussinger Patrick CENTRAL INDEX KEY: 0001819339 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 201054208 MAIL ADDRESS: STREET 1: 400 GALLERIA PKWY SE STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Select Interior Concepts, Inc. CENTRAL INDEX KEY: 0001723866 STANDARD INDUSTRIAL CLASSIFICATION: GEN BUILDING CONTRACTORS - RESIDENTIAL BUILDINGS [1520] IRS NUMBER: 474640296 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 BUSINESS PHONE: (888)701-4737 MAIL ADDRESS: STREET 1: 4900 EAST HUNTER AVENUE CITY: ANAHEIM STATE: CA ZIP: 92807 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-07-27 1 0001723866 Select Interior Concepts, Inc. SIC 0001819339 Dussinger Patrick 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 0 1 0 0 President-ASG Exhibit 24 - Limited Power of Attorney for Section 16 Reporting Obligations /s/ Shawn K. Baldwin, attorney-in-fact 2020-07-28 EX-24 2 attachment1.htm EX-24 DOCUMENT
                                   SECTION 16
                               POWER OF ATTORNEY

      Know all by these presents, that the undersigned hereby constitutes and
appoints Shawn K. Baldwin and Scott M. Jarvis, signing singly, the undersigned's
true and lawful attorney-in-fact to:

      (1)   prepare, execute in the undersigned's name and on the undersigned's
behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC") a
Form ID, including amendments thereto, and any other documents necessary or
appropriate to obtain codes and passwords enabling the undersigned to make
electronic filings with the SEC ofreports required by Section 16(a) of the
Securities Exchange Act of 1934 or any rule or regulation of the SEC;

      (2)   execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director of Select Interior Concepts, Inc., a
Delaware corporation (the "Company"), Forms 3, 4, and 5 in accordance with
Section l6(a) of the Securities Exchange Act of 1934 and the rules thereunder;

      (3)   do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Form 3, 4,
or 5 and timely file such form with the Securities and Exchange Commission and
any stock exchange or similar authority; and

      (4)   take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of 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 tenns and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.

      The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or 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 attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-infact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.

      This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file F01ms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact. In affixing his or her signature to this Power of
Attorney, the undersigned hereby revokes any and all previously executed Powers
of Attorney for the same or similar purposes.

      IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 27th day of July, 2020.


                                          /s/ Patrick Dussinger
                                          -----------------------------
                                          Patrick Dussinger