Initial Statement of Beneficial Ownership (3)
November 22 2021 - 3:31PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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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1. Name and Address of Reporting Person
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DERBY DEBORAH |
2. Date of Event Requiring Statement (MM/DD/YYYY)
11/12/2021
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3. Issuer Name and Ticker or Trading Symbol
Childrens Place, Inc. [PLCE]
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(Last)
(First)
(Middle)
C/O THE CHILDREN'S PLACE, INC, 500 PLAZA DRIVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner
___X___ Officer (give title below) _____ Other (specify below)
CHIEF ADMINISTRATIVE OFFICER / |
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(Street)
SECAUCUS, NJ 07094
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ 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) | 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) |
| Common Stock, par value $0.10 per share | 5760 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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: |
| (1) | Represents shares of Common Stock, par value $0.10 per share, of The Children's Place, Inc. (the "Company"), underlying time restricted stock units granted under the Company's 2011 Equity Incentive Plan (the "Plan") on August 2, 2021, one third of which are deliverable to Ms. Derby on each of the first, second and third anniversaries of the date of grant provided Ms. Derby is employed by the Company on the respective vesting dates, subject to the terms and conditions of the Plan. The Board of Directors of the Company named Ms. Derby an executive officer on November 12, 2021. |
Remarks:
Exhibit List: Exhibit 24.1 Power of Attorney |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
DERBY DEBORAH
C/O THE CHILDREN'S PLACE, INC
500 PLAZA DRIVE
SECAUCUS, NJ 07094 |
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| CHIEF ADMINISTRATIVE OFFICER |
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Signatures
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| /s/ Jared Shure, as Attorney-In-Fact for Deborah Derby | | 11/22/2021 |
| **Signature of Reporting Person | Date |
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