0001493152-21-030505.txt : 20211203 0001493152-21-030505.hdr.sgml : 20211203 20211203181220 ACCESSION NUMBER: 0001493152-21-030505 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211110 FILED AS OF DATE: 20211203 DATE AS OF CHANGE: 20211203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DABAH MOSHE CENTRAL INDEX KEY: 0001895502 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41032 FILM NUMBER: 211471416 MAIL ADDRESS: STREET 1: C/O 200 PARK AVENUE SOUTH STREET 2: 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 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 3 1 ownership.xml X0206 3 2021-11-10 0 0001861522 KIDPIK CORP. PIK 0001895502 DABAH MOSHE C/O KIDPIK CORP. 200 PARK AVENUE SOUTH, 3RD FLOOR NEW YORK NY 10003 0 1 0 0 VP, COO and CTO Common Stock 67100 D Restricted Stock Unit Common Stock 127000 D These securities are also disclosed separately in the Form 3 (and will be disclosed in separate Form 4s) filed by Mr. Ezra Dabah, the Chief Executive Officer of the Issuer, and the father of Moshe Dabah, as a result of the voting agreement discussed in footnote (2) below. Excludes securities owned by members of a Voting Group relating to a voting agreement dated September 1, 2021, between the reporting person and members of the Voting Group, for which the reporting person disclaim beneficial ownership (except as expressly set forth above). The Voting Group refers to members of a voting agreement with (and with respect to the reported securities owned by) Moshe Dabah, Eva Dabah, Joia Kazam, Chana Rapaport, Yaacov Dabah and trusts for the benefit of each of the foregoing, the co-trustees of which are the spouse and mother-in-law of Ezra Dabah; Trust FBO Josh A. Kazam, whose trustee is Greg Kiernan; Gila Goodman; Isaac Dabah and his spouse; GMM Capital LLC; and Sterling Macro Fund for purposes of Section 13(d) of the Securities Exchange Act of 1934. Each member of the Voting Group provided complete authority to Mr. Ezra Dabah, the Chief Executive Officer of the Issuer (and the father of Moshe Dabah), to vote the shares held by such persons and entities at any and all meetings of stockholders of the Company and via any written consents. The restricted stock units vest at the rate of (i) 1/3 on May 15, 2022 (six months from the closing of the Issuer's initial public offering ("IPO")); (ii) 1/3 on May 15, 2023 (eighteen months from the closing of the IPO); and (iii) 1/3 on May 15, 2024 (thirty months from the closing date of the IPO), subject to the reporting person's continued service through the applicable vesting date. Restricted stock units do not expire; they either vest or are canceled prior to vesting date. Each restricted stock unit represents the contingent right to receive, at settlement, one share of common stock. /s/ Moshe Dabah 2021-12-03