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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/09/2018 |
3. Issuer Name and Ticker or Trading Symbol
RALPH LAUREN CORP [ RL ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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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)
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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) |
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) | 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 securities are beneficially owned. |
/s/ Avery Fischer, Attorney-in-fact for Michael A. George | 05/16/2018 | |
** 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. |
(1)
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execute, sign, acknowledge, swear to, record and file for and on behalf of the undersigned, in the undersigned’s capacity as an officer or director of Ralph Lauren Corporation (the “Company”), any and all Forms 3, 4 and 5 and amendments thereto required to be filed by the undersigned in accordance with Section 16 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and the rules thereunder with respect to the undersigned’s holdings of and transactions in the securities issued by the Company (the “Section 16 Reports”);
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(2)
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do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any Section 16 Reports and timely file such Section 16 Reports with the Securities and Exchange Commission and any stock exchange or similar authority; and
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(3)
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take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such Agent, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such Agent on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as may be approved in the discretion of the Agent.
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/s/ Michael George | |
Michael George | |||
COMMONWEALTH
OF PENNSYLVANIA
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)
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) ss.: WEST CHESTER, PA
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COUNTY OF CHESTER
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)
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/s/ Deborah J. Ryan | |
Notary Public | |||
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Deborah J. Ryan, Notary Public
West Goshen Twp., Chester County My Commission Expires Nov. 8, 2019
MEMBER PENNSYLVANIA ASSOCIATION OF NOTARIES
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(1)
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act according to any instructions from the principal, or, where there are no instructions, in the principal’s best interest;
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(2)
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avoid conflicts that would impair your ability to act in the principal’s best interest;
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(3)
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keep the principal’s property separate and distinct from any assets you own or control, unless otherwise permitted by law;
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(4)
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keep a record or all receipts, payments, and transactions conducted for the principal; and
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(5)
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disclose your identity as an agent whenever you act for the principal by writing or printing the principal’s name and signing your own name as “agent” in either of the following manner: (Principal’s Name) by (Your Signature) as Agent, or (your signature) as Agent for (Principal’s Name).
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By:
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/s/ Avery Fischer | |
Avery Fischer | |||
STATE OF NEW YORK
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)
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) ss.:
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COUNTY OF New York
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)
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/s/ Elwira Teresa Terebka | |
Notary Public
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ELWIRA TERESA TEREBKA
Notary Public, State of New York
No. 01TE6023607
Qualified in Queens County
Certificate Filed in New York County
Commission Expires April 26, 2019
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By:
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/s/ Andreea Stan | |
Andreea Stan | |||
STATE OF NEW YORK
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)
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) ss.:
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COUNTY OF New York
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)
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/s/ Elwira Teresa Terebka | |
Notary Public | |||
ELWIRA TERESA TEREBKA
Notary Public, State of New York
No. 01TE6023607
Qualified in Queens County
Certificate Filed in New York County
Commission Expires April 26, 2019
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1. |
Avery Fischer, Corporate SVP, General Counsel & Secretary
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2. | Andreea Stan, VP, Corporate & Securities |