Form 3 ETSY INC For: Nov 30 Filed by: Blow Marla J
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| 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
*
| C/O ETSY, INC. |
| 117 ADAMS STREET |
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
11/30/2021
|
3. Issuer Name
and
Ticker or Trading Symbol
ETSY INC
[
ETSY
]
|
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)
|
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: |
| Remarks: |
Exhibit List - Exhibit 24 -Power of Attorney
No Table I or Table II securities beneficially owned |
|
/s/ Brigitte Eichner, as Attorney-in-Fact for Marla J. Blow |
12/02/2021 |
|
** 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
By signing this power of attorney, I appoint each of Jill Simeone, Lynn Horwitz,
Susan Waxenberg and Brittany Keen of Etsy, Inc. ("Etsy") and Nicole Brookshire,
Brigitte Eichner, and Jill Simon of Cooley LLP, signing individually, as my
attorney-in-fact, with full power of substitution, to:
1. Prepare and execute for and on my behalf, in my capacity as an officer and/or
director of Etsy , (i) Forms 3, 4 and 5 and any other forms required to be filed
in accordance with Section 16(a) of the Securities Exchange Act of 1934 and
applicable rules (each, a "Section 16 Form") and (ii) a Form ID and any other
documents or forms necessary or appropriate to obtain codes and passwords
enabling the undersigned to file a Section 16 Form with the United States
Securities and Exchange Commission (the "SEC") (such forms, together with the
Section 16 Forms, the "Forms");
2. take any action for and on my behalf that may be necessary or desirable to
complete and execute any Forms and/or amendments to any Forms, and timely file
such Forms and/or amendments with the SEC and any stock exchange or similar
authority; and
3. take any other action related to the Forms or amendments to the Forms that,
in the opinion of the attorney-in-fact, may benefit me, be in my best interest
or be legally required to be done by me. Any documents executed by an
attorney-in-fact on my behalf under this Power of Attorney will be in the form
and will contain the terms and conditions that the attorney-in-fact may approve
in his or her discretion.
By signing this power of attorney, I grant to each attorney-in-fact the power
and authority to take any and every action required, necessary or proper to be
done in the exercise of any of the rights and powers granted in this power of
attorney, as fully as I might or could if I was acting personally, with full
power of substitution. I confirm all actions that an attorney-in-fact, or his or
her substitute, lawfully takes or causes to be taken by virtue of this power of
attorney and the rights and powers granted in this power of attorney. I
acknowledge that none of the attorneys-in-fact, in serving as my
attorney-in-fact, at my request, is assuming, nor is Etsy assuming, any of my
responsibilities to comply with Section 16 of the Securities Exchange Act of
1934. This power of attorney shall remain in full force and effect until I am no
longer required to file any Forms, until the time at which I revoke it by a
signed writing that I deliver to the applicable attorney-in-fact or, regarding
any individual attorney-in-fact, until that attorney-in-fact is no longer an
Etsy employee or employed by or a partner at Cooley LLP or another law firm
representing Etsy, as applicable.
By: Marla Blow
Name: Marla J. Blow
Date: 10/29/2021
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