0000899243-21-004713.txt : 20210203 0000899243-21-004713.hdr.sgml : 20210203 20210203172113 ACCESSION NUMBER: 0000899243-21-004713 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: UBA HAJIME CENTRAL INDEX KEY: 0001783862 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39012 FILM NUMBER: 21587323 MAIL ADDRESS: STREET 1: C/O KURA SUSHI USA, INC. STREET 2: 17461 DERIAN AVE., SUITE 200 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: 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 0001783862 UBA HAJIME C/O KURA SUSHI USA, INC. 17461 DERIAN AVENUE, SUITE 200 IRVINE CA 92614 1 1 0 0 SEE REMARKS (A) Option to Purchase Class A Common Stock 22.65 2021-02-01 4 A 0 10720 0.00 A 2031-02-01 Class A Common Stock 10720 10720 D The Option is granted under the issuer's 2018 Incentive Compensation Plan. One-third of the Option shares will vest and become exercisable in full on the date that is 12 months following the date of grant (the "Anniversary Date"). The remaining Option shares will continue to vest in equal quarterly installments on the first day of each quarter starting from May 1, 2022 and over the two years after the Anniversary Date. (a) Mr. Uba is the President, Chief Executive Officer and Chairman of the Board of Directors. /s/ / Hajime Uba 2021-02-03