SEC FORM
3
SEC Form 3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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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) 02/03/2016
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3. Issuer Name and Ticker or Trading Symbol
TripAdvisor, Inc.
[ TRIP ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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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)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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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)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
No securities are beneficially owned. |
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/s/ Linda C. Frazier, attorney in fact |
02/05/2016 |
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** 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. |
Exhibit 24
LIMITED POWER OF ATTORNEY
The undersigned hereby constitutes and appoints
Seth Kalvert and Linda C. Frazier with full power
of substitution, the undersigned?s
true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned,
in the undersigned?s capacity as an officer and/or
director of TripAdvisor, Inc. (the ?Company?),
from time to time the following U.S. Securities
and Exchange Commission (?SEC?) forms: (i) Form ID,
including any attached documents,
to effect the assignment of codes to
the undersigned to be used in the
transmission of information to the
SEC using the EDGAR System; (ii) Form 3,
Initial Statement of Beneficial Ownership
of Securities, including any attached documents;
(iii) Form 4, Statement of Changes in Beneficial
Ownership of Securities, including any attached documents;
(iv) Form 5, Annual Statement of Beneficial Ownership of
Securities in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended, and the
rules thereunder, including any attached documents;
(v) Schedule 13D and (vi) amendments of each thereof,
in accordance with the Securities Exchange Act of 1934,
as amended, and the rules thereunder, including any
attached documents;
(2) 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 such Form 3, 4 or 5, or Schedule 13D or any
amendment(s) thereto, and timely file such form(s)
with the SEC and any securities exchange, national
association or similar authority; and
(3) take any other action of any type whatsoever
in connection with the foregoing which, in the opinion
of such attorney-in-fact, 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 attorney-in-fact on
behalf of the undersigned pursuant to this
Power of Attorney shall be in such form and shall
contain such terms and conditions as such
attorney-in-fact may approve in such
attorney-in-fact?s discretion.
The undersigned hereby grants to such
attorney-in-fact 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 attorney-in-fact, or such attorney-in-fact?s
substitute or substitutes, shall lawfully do or cause
to be done by virtue of this power of attorney
and the rights and powers herein granted.
The undersigned acknowledges that the foregoing
attorney-in-fact, in serving in such capacity
at the request of the undersigned, is not
assuming, nor is the Company assuming, any
of the undersigned?s responsibilities to
comply with Section 16 or Regulation 13D-G
of the Securities Exchange Act of 1934,
as amended. The undersigned hereby agrees
to indemnify the attorney in fact and the
Company from and against any demand, damage,
loss, cost or expense arising from any false
or misleading information provided by the
undersigned to the attorney-in-fact.
This Power of Attorney shall remain in full
force and effect until the undersigned is no longer
required to file such forms with respect to the
undersigned?s holdings of and transactions in
securities issued by the Company, unless earlier
revoked by the undersigned in a signed writing
delivered to the foregoing attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has
caused this Power of Attorney to be executed as of
February 5, 2016.
/s/ Albert E. Rosenthaler
Name: Albert E. Rosenthaler
Title: Director