0001209191-23-032986.txt : 20230530
0001209191-23-032986.hdr.sgml : 20230530
20230530181840
ACCESSION NUMBER: 0001209191-23-032986
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20230525
FILED AS OF DATE: 20230530
DATE AS OF CHANGE: 20230530
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LIVELY DORVIN D
CENTRAL INDEX KEY: 0001135314
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40542
FILM NUMBER: 23978259
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Mister Car Wash, Inc.
CENTRAL INDEX KEY: 0001853513
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AUTOMOTIVE REPAIR, SERVICES & PARKING [7500]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 222 E. 5TH STREET
CITY: TUCSON
STATE: AZ
ZIP: 85705
BUSINESS PHONE: 520-615-4000
MAIL ADDRESS:
STREET 1: 222 E. 5TH STREET
CITY: TUCSON
STATE: AZ
ZIP: 85705
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-05-25
0
0001853513
Mister Car Wash, Inc.
MCW
0001135314
LIVELY DORVIN D
C/O MISTER CAR WASH, INC.
TUCSON
AZ
85705
1
0
0
0
0
Common Stock
15258
D
Restricted Stock Unit
2023-05-25
4
A
0
12195
0.00
A
2024-05-25
2033-05-25
Common Stock
12195
12195
D
Represents an award of Restricted Stock Units (RSUs), which vest on the earlier of (i) the one-year anniversary of the grant date or (ii) the date of the Issuer's next annual meeting of stockholders following the grant date, subject to the Reporting Person's continued service on the Issuer's Board of Directors through the applicable vesting date. The RSUs will be settled in shares of the Issuer's common stock upon vesting.
Ex. 24 Power of Attorney
/s/Markus Hartmann, as Attorney-in-Fact for Dorvin Lively
2023-05-30
EX-24
2
poa.txt
POA DOCUMENT
EXHIBIT 24
POWER OF ATTORNEY
With respect to holdings of and transactions in securities issued by Mister Car
Wash, Inc. (the "Company"), the undersigned hereby constitutes and appoints the
individuals named on Schedule A attached hereto and as may be amended from time
to time, or any of them signing singly, with full power of substitution and
resubstitution, to act as the undersigned's true and lawful attorney-in-fact to:
1. prepare, execute in the undersigned's name and on the undersigned's
behalf,
and submit to the United States Securities and Exchange Commission
(the
"SEC") a Form ID, including amendments thereto, and any other
documents
necessary or appropriate to obtain and/or regenerate codes and
passwords
enabling the undersigned to make electronic filings with the SEC of
reports
required by Section 16(a) of the Securities Exchange Act of 1934, as
amended, or any rule or regulation of the SEC;
2. execute for and on behalf of the undersigned, Forms 3, 4, and 5 in
accordance with Section 16 of the Securities Exchange Act of 1934, as
amended, and the rules thereunder;
3. do and perform any and all acts for and on behalf of the undersigned
which
may be necessary or desirable to complete and execute any such Form 3,
4,
or 5, complete and execute any amendment or amendments thereto, and
timely
file such form with the SEC and any stock exchange or similar
authority;
and
4. 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 and
resubstitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorneys-in-fact 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
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934, as amended.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 3rd day of November 2022.
/s/ Dorvin Lively
-----------------------------------
Dorvin Lively
Schedule A
Individuals Appointed as Attorney-in-Fact with Full Power of Substitution
and Resubstitution:
1. Markus Hartmann
2. Jedidiah Gold