0001493152-22-014250.txt : 20220517 0001493152-22-014250.hdr.sgml : 20220517 20220517204133 ACCESSION NUMBER: 0001493152-22-014250 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220515 FILED AS OF DATE: 20220517 DATE AS OF CHANGE: 20220517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DABAH EZRA CENTRAL INDEX KEY: 0001055163 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41032 FILM NUMBER: 22936737 MAIL ADDRESS: STREET 2: ONE DODGE DR CITY: WEST CALDWELL STATE: NJ ZIP: 07006 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KIDPIK CORP. CENTRAL INDEX KEY: 0001861522 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 813640708 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 PARK AVENUE SOUTH, 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 BUSINESS PHONE: 212-399-2323 MAIL ADDRESS: STREET 1: 200 PARK AVENUE SOUTH, 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 4 1 ownership.xml X0306 4 2022-05-15 0 0001861522 KIDPIK CORP. PIK 0001055163 DABAH EZRA C/O KIDPIK CORP. 200 PARK AVENUE SOUTH, 3RD FLOOR NEW YORK NY 10003 1 1 1 0 President, CEO and Chairman Common Stock 1925770 D Common Stock 252967 I Through spouse Common Stock 1508408 I See Notes Common Stock 2022-05-15 4 M 0 42333 0.0 A 407357 I See Notes Common Stock 2022-05-15 4 F 0 2922 1.91 D 404435 I See Notes Common Stock 1103124 I See Notes The reported securities are held directly by Renee Dabah, the spouse of the Reporting Person, and are also separately reported in beneficial ownership reports filed by Mrs. Dabah. The Reporting Person was provided complete authority to vote these shares pursuant to a voting agreement dated September 1, 2021, with (and with respect to the reported securities owned by) Moshe Dabah, Eva Dabah, Joia Kazam, Chana Rapaport, Yaacov Dabah; Trust FBO Josh A. Kazam, whose trustee is Greg Kiernan; Gila Goodman; Isaac Dabah and his spouse; GMM Capital LLC; Sterling Macro Fund, and each of the trusts described in note (2) below, at any and all meetings of stockholders of the Company and via any written consents. The voting agreement has a term of three years, through August 31, 2024, but can be terminated at any time by Mr. Dabah and terminates automatically upon the death of Mr. Dabah. Includes securities held in the name of the u/a/d 02/02/1997, Trust FBO Yaacov Dabah; the u/a/d 02/02/1997, Trust FBO Moshe Dabah; the u/a/d 02/02/1997, Trust FBO Joia Dabah; the u/a/d 02/02/1997, Trust FBO Eva Dabah and the u/a/d 02/02/1997, Trust FBO Chana Dabah, each of which are party to the voting agreement described in (1) above, and each of which the spouse of Mr. Ezra Dabah serves as co-trustee of, along with the mother-in-law of Ezra Dabah (Raine Silverstein), and which securities held by such trusts, Mr. Ezra Dabah may be deemed to beneficially own. These securities are also separately reported in beneficial ownership reports filed by Mrs. Dabah and Mrs. Silverstein. Includes securities held in the name of Moshe Dabah, Eva Dabah, Joia Kazam, Chana Rapaport, and Yaacov Dabah, each of whom are party to the voting agreement described (1) above, and each of which holders are the adult children of Mr. Ezra Dabah, and which securities held by such persons Mr. Ezra Dabah may be deemed to beneficially own. The securities held by Moshe Dabah are also separately reported in beneficial ownership reports filed by Mr. Moshe Dabah, an executive officer of the Issuer. Includes securities held by an irrevocable trust in the name of Josh A. Kazam, the son-in-law of Mr. Ezra Dabah, Irrevocable Trust, whose trustee is Greg Kiernan; Gila Goodman, who is the sister of Ezra Dabah; Isaac Dabah, who is the brother of Ezra Dabah and his spouse; GMM Capital LLC, an entity which Isaac Dabah controls; and Sterling Macro Fund, an entity which Isaac Dabah controls, each of whom are party to the voting agreement described (2) above, and which securities held by such persons Mr. Ezra Dabah may be deemed to beneficially own. The reporting person disclaims ownership of the reported securities except to the extent of his own pecuniary interest therein. Represents shares of common stock issued upon settlement of restricted stock units held by Mr. Moshe Dabah. Represents shares withheld by the Company to satisfy tax withholding obligations in connection with the vesting of 42,333 restricted stock units to Mr. Moshe Dabah on May 15, 2022. /s/ Ezra Dabah 2022-05-17