0001062993-21-010252.txt : 20211104 0001062993-21-010252.hdr.sgml : 20211104 20211104160329 ACCESSION NUMBER: 0001062993-21-010252 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20211104 FILED AS OF DATE: 20211104 DATE AS OF CHANGE: 20211104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HORN CHARLES L CENTRAL INDEX KEY: 0001326952 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40776 FILM NUMBER: 211379842 MAIL ADDRESS: STREET 1: BUILDERS FIRSTSOURCE INC. STREET 2: 2001 BRYAN STREET, SUITE 1600 CITY: DALLAS STATE: TX ZIP: 75201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Loyalty Ventures Inc. CENTRAL INDEX KEY: 0001870997 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 871353472 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7500 DALLAS PARKWAY STREET 2: SUITE 700 CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: (972) 898-1530 MAIL ADDRESS: STREET 1: 7500 DALLAS PARKWAY STREET 2: SUITE 700 CITY: PLANO STATE: TX ZIP: 75024 3 1 form3.xml INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES X0206 3 2021-11-04 0 0001870997 Loyalty Ventures Inc. LYLT 0001326952 HORN CHARLES L 7500 DALLAS PARKWAY, SUITE 700 PLANO TX 75024 1 1 0 0 President and CEO Common Stock 0 D No securities beneficially owned directly or indirectly. Cynthia L. Hageman, Attorney in Fact 2021-11-04 EX-24 2 exhibit24.txt APPOINTMENT OF POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints Cynthia L. Hageman and Laura Santillan as the undersigned's true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Loyalty Ventures Inc. (the "Company"), any filing in connection with the undersigned's holdings of or transactions in securities issued by the Company, including but not limited to, Forms 3, 4 or 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder, or Form 144 in accordance with Rule 144 of the Securities Act of 1933, as amended, and the rules thereunder; (2) 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, including but not limited to, Forms 3, 4, 5 or 144, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; 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 Company assuming, any of the undersigned's responsibilities to comply with the Securities Exchange Act of 1934, as amended, or the Securities Act of 1933, 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, 5, or 144, or any other form 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 2nd day of September, 2021. /s/ Charles L. Horn Printed Name: Charles L. Horn