Form 3 STEELCASE INC For: Dec 20 Filed by: Brown Timothy C. E.
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December 22, 2016 2:07 PM EST
| 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
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person
*
| STEELCASE INC. |
| 901 44TH ST SE |
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
12/20/2016
|
3. Issuer Name
and
Ticker or Trading Symbol
STEELCASE INC
[
NYSE: SCS
]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
|
3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
|
Class A Common Stock
|
265
|
D
|
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
|
2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
Liesl A. Maloney, by power of attorney |
12/22/2016 |
|
** 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
4
(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
FOR THE EXECUTION OF SEC FORMS 3, 4, 5,
SCHEDULE 13D, 13G AND ANY AMENDMENTS THERETO
The undersigned hereby constitutes and appoints each of Lizbeth S.
O'Shaughnessy, in her capacity as Senior Vice President, Chief
Administrative Officer, General Counsel and Secretary of Steelcase Inc.,
Liesl A. Maloney, in her capacity as Assistant General Counsel and
Assistant Secretary of Steelcase Inc. and Mary K. Aune, in her capacity
as Manager, Corporate Governance and Securities Reporting Compliance for
Steelcase Inc., signing singly, the undersigned's true and lawful
attorney-in-fact to:
1) execute for and on behalf of the undersigned, with respect to the
undersigned's position as a director, officer or shareholder of Steelcase
Inc., Form ID, Forms 3, 4 and 5 and any amendments thereto in accordance
with Section 16(a) of the Securities Exchange Act of 1934 and the rules
thereunder, and Schedules 13D and 13G and any amendments thereto in
accordance with Section 13(d) and (g) of the Securities Exchange Act of
1934 and the rules thereunder;
2) 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 ID,
Forms 3, 4 or 5 or Schedule 13D or 13G and any amendments thereto and
timely file such forms with the United States Securities and Exchange
Commission and any stock exchange or similar authority; and
3) upon consultation with the undersigned, or such advisors as
designated by the undersigned, 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.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to perform any and every act deemed necessary or proper
in the exercise of any of the rights and powers herein granted, and
to the full extent and purpose as the undersigned might or could do
if personally present, hereby ratifying and confirming all that such
attorney-in-fact 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
serve in such capacity at the request of the undersigned and are not
assuming, nor is Steelcase Inc. assuming, any of the undersigned's
responsibilities to comply with Section 13 or 16 of the Securities
Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Form ID, Forms 3, 4 or 5 or
Schedule 13D or 13G and any amendments thereto with respect to the
undersigned's holdings of and transactions in securities issued by
Steelcase Inc., 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 3 day of August, 2016.
/s/ T. C. E. Brown
Timothy Charles Eltringham Brown
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