0000899243-22-004152.txt : 20220202 0000899243-22-004152.hdr.sgml : 20220202 20220202162241 ACCESSION NUMBER: 0000899243-22-004152 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220201 FILED AS OF DATE: 20220202 DATE AS OF CHANGE: 20220202 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: 22583948 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 2022-02-01 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 46.15 2022-02-01 4 A 0 7148 0.00 A 2032-02-01 Class A Common Stock 7148 7148 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, 2023 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. (b) Exhibit 24 - Power of Attorney /s/ Steven H. Benrubi, Attorney-in-Fact for Hajime Uba 2022-02-02 EX-24 2 attachment1.htm EX-24 DOCUMENT

                               POWER OF ATTORNEY

     Know all by these presents that the undersigned hereby authorizes and
designates Steven H. Benrubi 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:  January 31, 2022


                                    Signature: /s/ Hajime Uba
                                               ----------------------

                                    Printed Name: Hajime Uba