0000899243-23-016639.txt : 20230628 0000899243-23-016639.hdr.sgml : 20230628 20230628174436 ACCESSION NUMBER: 0000899243-23-016639 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230628 FILED AS OF DATE: 20230628 DATE AS OF CHANGE: 20230628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pipes Kristy CENTRAL INDEX KEY: 0001783568 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41733 FILM NUMBER: 231053540 MAIL ADDRESS: STREET 1: C/O PS BUSINESS PARKS, INC. STREET 2: 701 WESTERN AVENUE CITY: GLENDALE STATE: CA ZIP: 91201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Savers Value Village, Inc. CENTRAL INDEX KEY: 0001883313 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900] IRS NUMBER: 834165683 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11400 SE 6TH ST., #220 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425-462-1515 MAIL ADDRESS: STREET 1: 11400 SE 6TH ST., #220 CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: S-Evergreen Holding LLC DATE OF NAME CHANGE: 20210916 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2023-06-28 0 0001883313 Savers Value Village, Inc. SVV 0001783568 Pipes Kristy C/O SAVERS VALUE VILLAGE, INC. 11400 S.E. 6TH STREET, SUITE 125 BELLEVUE WA 98004 1 0 0 0 Option (Right to Purchase) 12.62 2032-02-18 Common Stock 46378 D Option (Right to Purchase) 15.42 2032-12-16 Common Stock 3313 D Option (Right to Purchase) 13.57 2033-02-07 Common Stock 15219 D Options previously granted under the Registrant's 2019 Management Incentive Plan. Each option represents the right to receive upon exercise one share of the Registrant's common stock subject to the applicable vesting and settlement conditions. Represents time-based options with a vesting schedule in substantially equal annual installments over four years starting July 22, 2022. Represents time-based options with a vesting schedule in substantially equal annual installments over five years starting December 16, 2023. Represents time-based options with a vesting schedule in substantially equal annual installments over five years starting February 7, 2024. Exhibit 24.1 - Power of Attorney /s/ Kristy M. Pipes 2023-06-28 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT
                             POWER OF ATTORNEY

        KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of (i) Richard Medway and (ii) James "Jay" Stasz, signing SINGLY,
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, director or holder of ten percent (10%)
or more of the registered class of securities of Savers Value Village, Inc.
(the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended, and the rules thereunder;

        (2)    do and perform any and all acts for and on behalf of the
undersigned that 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 forms or amendments 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, 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, 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 Exchange Act.

        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 10th day of May 2023.


                                   By: /s/ Kristy M. Pipes
                                       -------------------------------
                                       Name: Kristy M. Pipes