SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
05/19/2019
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3. Issuer Name and Ticker or Trading Symbol
AUTOZONE INC
[ AZO ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
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| 1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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|---|
| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
| Remarks: |
|
| No securities are beneficially owned. |
|
/s/ Michael Calbert |
05/24/2019 |
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** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
5
(b)(v). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
POWER OF ATTORNEY
The undersigned hereby authorizes and designates Kristen C. Wright and Maria
M. Leggett and each of them, as her true and lawful agent and attorney-in-fact
to sign on her behalf any and all statements on:
(1) Form 3, Form 4 and Form 5 under Section 16 of the Securities Exchange Act
of 1934, as amended, and the rules promulgated thereunder, and
(2) Form 144 under the Securities Act of 1933, as amended, and the rules
promulgated thereunder (including but not limited to, Rule 144)
with respect to shares of Common Stock or other equity securities of AutoZone,
Inc. held by the undersigned or with respect to transactions in such shares or
other equity securities by the undersigned, and to file on her behalf, any and
all such reports with the Securities and Exchange Commission, the New York Stock
Exchange and AutoZone, Inc. and hereby ratifies any such action by such agent
or attorney-in-fact. This power of attorney shall become effective as of the
date indicated below and shall remain effective for so long as the undersigned
shall be an officer or director of AutoZone, Inc. unless sooner revoked by the
undersigned in writing.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 24 day of May, 2018.
/s/ Michael Calbert
Name: Michael Calbert
