SEC 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
|Estimated average burden|
|hours per response:
1. Name and Address of Reporting Person*
|10560 DR. MARTIN LUTHER KING, JR. ST. N.|
2. Date of Event Requiring Statement
3. Issuer Name and Ticker or Trading Symbol
[ JBL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
5. If Amendment, Date of Original Filed
6. Individual or Joint/Group Filing (Check Applicable Line)
||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.
Amount of Securities Beneficially Owned (Instr.
||3. Ownership Form: Direct (D) or Indirect (I) (Instr.
||4. Nature of Indirect Beneficial Ownership (Instr.
Table II - Derivative Securities Beneficially Owned|
(e.g., puts, calls, warrants, options, convertible securities)
|1. Title of Derivative Security (Instr.
||2. Date Exercisable and Expiration Date
||3. Title and Amount of Securities Underlying Derivative Security (Instr.
||4. Conversion or Exercise Price of Derivative Security
||5. Ownership Form: Direct (D) or Indirect (I) (Instr.
||6. Nature of Indirect Beneficial Ownership (Instr.
||Amount or Number of Shares
|Explanation of Responses:|
|No securities are beneficially owned.|
||/s/ Susan M. Wagner-Fleming, Attorney-in-Fact
||** Signature of Reporting Person
|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,
|** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
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,
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.|
LIMITED POWER OF ATTORNEY
The undersigned, Anousheh Ansari (the Insider), hereby makes, constitutes, and
appoints Robert L. Katz, Susan Wagner-Fleming, and Lisa N. Clark and each of
them acting individually (each of the foregoing is referred to as an Authorized
Signer), as the Insiders true and lawful attorney-in-fact, each with full power
and authority to:
1. prepare, execute, and file on the Insiders behalf any and all Forms 3, 4 and
5 (including any amendments thereto), in accordance with Section 16(a) of the
Securities Exchange Act of 1934 (Exchange Act) and the rules promulgated
thereunder, that the Insider may be required to file with the United States
Securities and Exchange Commission as a result of the Insiders ownership of, and
transactions in, securities of Jabil Circuit, Inc. the Company); and
2. do and perform any other actions of any type whatsoever that (i) may be
necessary, desirable or appropriate to prepare, execute, and file any such Forms
3, 4, or 5 with the United States Securities and Exchange Commission and any
other governmental or private authority or entity, or (ii) in the discretion of
the Authorized Signer, may be of benefit to, in the best interest of, or are
necessary or appropriate for and on behalf of the Insider
in connection with any
of the foregoing, it being understood that the documents executed by such
Authorized Signer on behalf of the Insider pursuant to this Power of Attorney
shall be in such form and shall contain such terms and conditions as such
Authorized Signatory may approve in such Authorized Signatory?s discretion.
This Limited Power of Attorney revokes and replaces any earlier dated power of
attorney relating to the reporting obligations of the Insider with regard to the
Insiders ownership of, or transactions in, securities of the Company under
Section 16 of the Exchange Act and the rules promulgated thereunder. The power
and authority of the Authorized Signers under this Limited Power of Attorney
shall continue until the Insider is no longer required to file Forms 3, 4 and 5
with regard to the Insiders ownership of, or transactions in, securities of the
Company, unless earlier revoked by the Insider in a signed writing delivered to
the Authorized Signers.
The undersigned hereby grants to each such Authorized Signer full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorneys-in-fact, or such
attorneys-in-facts substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
The Insider acknowledges that:
1. this Limited Power of Attorney does not relieve the Insider from his or her
responsibilities to comply with the requirements of Section 16 of the Exchange
Act and the rules promulgated thereunder; and
2. neither the Company nor any Authorized Signer assumes (i) any liability for
the Insiders responsibilities to comply with the requirements of Section 16 of
the Exchange Act and the rules promulgated thereunder, (ii) any liability of the
Insider for any failure to comply with such requirements, or (iii) any
obligation or liability of the Insider for disgorgement of profits under Section
16(b) of the Exchange Act.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney be
executed as of the 23rd of January, 2018.
Signature: /s/ Christopher S. Holland