0000899243-19-020714.txt : 20190731 0000899243-19-020714.hdr.sgml : 20190731 20190731184421 ACCESSION NUMBER: 0000899243-19-020714 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190731 FILED AS OF DATE: 20190731 DATE AS OF CHANGE: 20190731 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: UBA HAJIME CENTRAL INDEX KEY: 0001783862 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39012 FILM NUMBER: 19990249 MAIL ADDRESS: STREET 1: C/O KURA SUSHI USA, INC. STREET 2: 17932 SKY PARK CIRCLE, SUITE H CITY: IRVINE STATE: CA ZIP: 92614 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: 17932 SKY PARK CIRCLE, SUITE H CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 9497481786 MAIL ADDRESS: STREET 1: 17932 SKY PARK CIRCLE, SUITE H CITY: IRVINE STATE: CA ZIP: 92614 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-07-31 0 0001772177 KURA SUSHI USA, INC. KRUS 0001783862 UBA HAJIME C/O KURA SUSHI USA, INC. 17932 SKY PARK CIRCLE, SUITE H IRVINE CA 92614 1 1 0 0 See Remarks Option to Purchase Class A Common Stock 4.26 2028-06-16 Class A Common Stock 77571 D The Option will vest in equal quarterly installments on the last day of each calendar quarter over approximately forty-five (45) months after June 16, 2018, generally subject to the Reporiting Person's continuous service relationship with Kura Sushi USA, Inc. through each applicable vesting date. President, Chief Executive Officer and Chairman of the Board of Directors /s/ Hajime Uba 2019-07-31 EX-24 2 attachment1.htm EX-24 DOCUMENT



                                POWER OF ATTORNEY

      Know all by these presents that the undersigned hereby authorizes and
designates Koji Shinohara as the undersigned's agent and attorney-in-fact, with
full power of substitution to:

      (1) prepare and sign on behalf of the undersigned any Form 3, Form 4 or
Form 5 under Section l6 of the Securities Exchange Act of 1934, as amended, with
respect to the securities of Kura Sushi USA, Inc. (the "Corporation"), and file
the same with the Securities and Exchange Commission;

      (2) prepare and sign on behalf of the undersigned any Form 144 Notice
under the Securities Act of 1933, as amended, and file the same with the
Securities and Exchange Commission; and

      (3) 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 terms 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-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Corporation assuming, any of the undersigned's responsibilities to
comply with Section 16 of the Securities Exchange Act of 1934, as amended, or
Section 5 of the Securities Act of 1933, as amended, or Rule 144 promulgated
under such Act.  This Power of Attorney shall remain in effect until the
undersigned is no longer required to file Forms 3, 4, 5 and 144 with respect to
the undersigned's holdings of and transactions in securities issued by the
Corporation, unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact.

Dated:  July 31, 2019


                        Signature:/s/ Hajime Uba
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                        Printed Name: Hajime Uba
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