0000899243-19-023928.txt : 20190919 0000899243-19-023928.hdr.sgml : 20190919 20190919164354 ACCESSION NUMBER: 0000899243-19-023928 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190910 FILED AS OF DATE: 20190919 DATE AS OF CHANGE: 20190919 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carlson Christopher CENTRAL INDEX KEY: 0001669069 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38580 FILM NUMBER: 191102108 MAIL ADDRESS: STREET 1: 111 NORTH CANAL, SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IAA, Inc. CENTRAL INDEX KEY: 0001745041 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 831030538 FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: TWO WESTBROOK CORPORATE CENTER STREET 2: 10TH FLOOR CITY: WESTCHESTER STATE: IL ZIP: 60154 BUSINESS PHONE: (708) 492-7000 MAIL ADDRESS: STREET 1: TWO WESTBROOK CORPORATE CENTER STREET 2: 10TH FLOOR CITY: WESTCHESTER STATE: IL ZIP: 60154 FORMER COMPANY: FORMER CONFORMED NAME: IAA Spinco Inc. DATE OF NAME CHANGE: 20180628 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-09-10 1 0001745041 IAA, Inc. IAA 0001669069 Carlson Christopher TWO WESTBROOK CORPORATE CENTER SUITE 500 WESTCHESTER IL 60154 0 1 0 0 VP and Corporate Controller Exhibit List: Exhibit 24 - Power of Attorney /s/ Sidney Peryar, as attorney in fact 2019-09-19 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

                 FOR SEC FILINGS ON FORMS ID, 3, 4, 5 AND 144
                          IN RESPECT OF SECURITIES OF
                                   IAA, INC.

           The undersigned hereby constitutes and appoints each of Sidney Peryar
and Vance Johnston of IAA, Inc. (the "Company") and Shelly Heyduk of O'Melveny &
Myers LLP as his true and lawful attorney-in-fact and agent, with full power of
substitution and resubstitution for him in his name and stead in any and all
capacities, to sign and file for and on his behalf, in respect of any
acquisition, disposition or other change in ownership of any common stock of the
Company, the following:

     (i)   any Form ID to be filed with the Securities and Exchange Commission
           (the "SEC");

     (ii)  any Initial Statement of Beneficial Ownership of Securities on Form 3
           to be filed with the SEC;

     (iii) any Statement of Changes of Beneficial Ownership of Securities on
           Form 4 to be filed with the SEC;

     (iv)  any Annual Statement of Beneficial Ownership of Securities on Form 5
           to be filed with the SEC;

     (v)   any Notice of Proposed Sale of Securities on Form 144 to be filed
           with the SEC; and

     (vi)  any and all agreements, certificates, receipts, or other documents in
           connection therewith.

           The undersigned hereby gives full power and authority to the
attorney-in-fact to seek and obtain as the undersigned's representative and on
the undersigned's behalf, information on transactions in the Company's
securities from any third party, including brokers, employee benefit plan
administrators and trustees, and the undersigned hereby authorizes any such
person to release such information to the undersigned and approves and ratifies
any such release of information.

           The undersigned hereby grants unto such attorney-in-fact and agent
full power and authority to do and perform each and every act and thing
requisite and necessary in connection with such matters and hereby ratifies and
confirms all that any such attorney-in-fact and agent or substitute may do or
cause to be done by virtue hereof.

           The undersigned acknowledges that:

     (i)   neither the Company nor such attorney-in-fact assumes (i) any
           liability for the undersigned's responsibility to comply with the
           requirement of the Securities Exchange Act of 1934, as amended (the
           "Exchange Act"), (ii) any liability of the undersigned for any
           failure to comply with such requirements or (iii) any obligation or
           liability of the undersigned for profit disgorgement under Section
           16(b) of the Exchange Act; and

     (ii)  this Power of Attorney does not relieve the undersigned from
           responsibility for compliance with the undersigned's obligations
           under the Exchange Act, including without limitation the reporting
           requirements under Section 16 of the Exchange Act.

           This Power of Attorney shall remain in full force and effect until
revoked by the undersigned in a signed writing delivered to such attorney-in-
fact.
           IN WITNESS WHEREOF, the undersigned has executed this Power of
Attorney.

Date:  September 10, 2019

                                 /s/ Chris Carlson
                                 -------------------------------
                                 Chris Carlson