FORM 3
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Washington, D.C. 20549 |
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 * Kishkill Joseph |
2. Date of Event Requiring Statement (MM/DD/YYYY)
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3. Issuer Name and Ticker or Trading Symbol TPI COMPOSITES, INC [TPIC] |
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___ X ___ Officer (give title below) _____ Other (specify below) Chief Commercial Officer / |
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
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) |
No securities are benefically owned | 0.00 | 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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
Remarks:
Exhibit List - Power of Attorney |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
Kishkill Joseph
8501 N SCOTTSDALE ROAD, GAINEY CENTER II, SUITE 100 SCOTTSDALE, AZ 85253 |
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Chief Commercial Officer |
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Signatures
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/s/ Steven G. Fishbach, Attorney-in-Fact | 8/28/2017 | |
** 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 control number. |
LIMITED POWER OF ATTORNEY
The undersigned hereby constitutes
and appoints each of Steven G. Fishbach,
Marlene Neely and Bradley C. Weber,
signing singly, and 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 officer and/or director
of TPI Composites, 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, 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 each such
attorney-in-fact, acting singly, 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 attorneys-in-fact, in serving
in such capacity at the request of the
undersigned, are 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 attorneys-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
attorneys-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
attorneys-in-fact.
This Power of Attorney supersedes
any prior power of attorney in
connection with the undersigned's
capacity as an officer and/or director
of the Company. This Power of Attorney
shall expire as to any individual
attorney-in-fact if such attorney-in-fact
ceases to be an executive officer of, or
legal counsel to, the Company.
IN WITNESS WHEREOF, the undersigned
has caused this Power of Attorney
to be executed as of August 21, 2017.
/s/ Joseph G. Kishkill ----------------------------- Name: Joseph G. Kishkill |