Sec Form 3 Filing - DABAH RENEE @ KIDPIK CORP. - 2021-11-10

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
DABAH RENEE
2. Issuer Name and Ticker or Trading Symbol
KIDPIK CORP. [ PIK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O 200 PARK AVE SOUTH, 3RD FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
11/10/2021
(Street)
NEW YORK, NY10003
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 252,967 D( 1 )( 2 )
Common Stock 354,288( 3 )( 4 ) I u/a/d 02/02/1997, Trust FBO Yaacov Dabah
Common Stock 334,829( 3 )( 4 ) I u/a/d 02/02/1997, Trust FBO Moshe Dabah
Common Stock 327,448( 3 )( 4 ) I u/a/d 02/02/1997, Trust FBO Joia Dabah
Common Stock 167,750( 3 )( 4 ) I u/a/d 02/02/1997, Trust FBO Eva Dabah
Common Stock 324,093( 3 )( 4 ) I u/a/d 02/02/1997, Trust FBO Chana Dabah
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DABAH RENEE
C/O 200 PARK AVE SOUTH, 3RD FLOOR
NEW YORK, NY10003
X
SILVERSTEIN RAINE
C/O 200 PARK AVE SOUTH, 3RD FLOOR
NEW YORK, NY10003
X
Signatures
/s/ Renee Dabah 12/03/2021
Signature of Reporting Person Date
/s/ Raine Silverstein 12/03/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The reported securities are held directly by Renee Dabah.
( 2 )This Form 3 does not include shares of common stock of the Company held by Ezra Dabah, the Chief Executive Officer, President and Chairman of the Issuer, and shares which he has the right to vote pursuant to the Voting Agreement, discussed below, which Renee Dabah may be deemed to beneficially own as the spouse of Mr. Dabah, and which securities are disclosed separately in the Form 3 (and will be disclosed in separate Form 4s) filed by Mr. Dabah. Mrs. Dabah disclaims ownership of the securities held by, and beneficially owned by, Mr. Dabah, except to the extent of her pecuniary interest therein.
( 3 )Excludes securities owned by members of a Voting Group relating to a voting agreement dated September 1, 2021, between the reporting persons and members of the Voting Group, for which the reporting persons disclaim beneficial ownership (except as expressly set forth above). The Voting Group refers to members of a voting agreement with (and with respect to the reported securities owned by) Moshe Dabah, Eva Dabah, Joia Kazam, Chana Rapaport, Yaacov Dabah; Trust FBO Josh A. Kazam, whose trustee is Greg Kiernan; Gila Goodman; Isaac Dabah and his spouse; GMM Capital LLC; Sterling Macro Fund, and each of the trusts described footnote 4, below, for purposes of Section 13(d) of the Securities Exchange Act of 1934, each of which provided complete authority to Mr. Ezra Dabah, the Chief Executive Officer of the Issuer (and the spouse of Renee Dabah), to vote the shares held by such persons and entities at any and all meetings of stockholders of the Company and via any written consents.
( 4 )The securities are held in the name of each applicable trust referenced, of which the Reporting Persons (Renee Dabah and Raine Silverstein) are co-trustees, and as such, each Reporting Person may be deemed to beneficially own the securities held by each applicable trust. Raine Silverstein is the mother-in-law of Ezra Dabah. The Reporting Persons disclaim ownership of the reported securities except to the extent of their own pecuniary interest therein.

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