SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Jubert Melody Rose

(Last) (First) (Middle)
C/O KIRKLAND'S INC, 5310 MARYLAND WAY

(Street)
BRENTWOOD TN 37027

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/22/2024
3. Issuer Name and Ticker or Trading Symbol
KIRKLAND'S, INC [ KIRK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP Operations
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 13,983(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (2) 03/27/2034 Common Stock 18,857 $2.95 D
Explanation of Responses:
1. Ms. Jubert does not hold any shares of Kirkland's, Inc. stock. These are restricted stock units ("RSUs") that were awarded to Ms. Jubert before she became a reporting person under Kirkland's 2002 Equity Incentive Plan. Ms. Jubert was granted 13,983 RSUs on March 27, 2024 that will vest 1/3 annually over three years.
2. These are stock options that were awarded to Ms. Jubert before she became a reporting person under Kirkland's 2002 Equity Incentive Plan. Ms. Jubert was granted 18,857 stock options on March 27, 2024 that will vest 1/3 annually over three years.
Carter R. Todd, Attorney-in-Fact for Melody R. Jubert 04/22/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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