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)
06/16/2022
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3. Issuer Name and Ticker or Trading Symbol
Mallinckrodt plc
[ MNKPF ]
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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: |
| Remarks: |
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| No securities are beneficially owned. |
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/s/ Mark J. Casey, Attorney-in-Fact |
06/24/2022 |
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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
Power of Attorney
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints each of Mark J. Casey, Bryan M. Reasons and Daniel J. Speciale, or any
of them acting singly, and with full power of substitution and re-substitution,
the undersigned's true and lawful attorney-in-fact (each of such persons and
their substitutes being referred to herein as the "Attorney-in-Fact"), with
full power to act for the undersigned and in the undersigned's name, place and
stead, in any and all capacities, to:
1. Prepare, execute, and submit to the Securities and Exchange
Commission ("SEC") a Form ID, including amendments thereto, and any
other documents necessary or appropriate to obtain codes and
passwords enabling the undersigned to make electronic filings with
the SEC of reports required or considered by the Attorney-in-Fact to
be advisable under Section 13 or Section 16 of the Securities
Exchange Act of 1934 (the "Exchange Act") or any rule or regulation
of the SEC;
2. Prepare, execute and submit to the SEC, Mallinckrodt plc (the
"Company"), and/or any national securities exchange on which the
Company's securities are listed any and all reports (including any
amendments thereto) the undersigned is required to file with the SEC,
or which the Attorney-in-Fact considers it advisable to file with the
SEC, under Section 13 or Section 16 of the Exchange Act or any rule
or regulation thereunder, or under Rule 144 under the Securities Act
of 1933 ("Rule 144"), with respect to the any security of the
Company, including Forms 3, 4 and 5, Schedules 13D and 13G, and Forms
144;
3. Prepare, execute and submit to Irish Companies Registration Office
and/or any other authority ("CRO") any and all reports, filings or
other disclosures (including any amendments thereto) related to the
undersigned's holdings of and transactions in securities of the
Company that the undersigned is required to file with the CRO, or
which the Attorney-in-Fact considers it advisable to file with the
CRO pursuant to the Companies Act 2014 of Ireland (the "Companies
Act"); and
4. Obtain, as the undersigned's representative and on the undersigned's
behalf, information regarding transactions in the Company's equity
securities from any third party, including the Company and any
brokers, dealers, employee benefit plan administrators and trustees,
and the undersigned hereby authorizes any such third party to release
any such information to the Attorney-in-Fact.
The undersigned acknowledges that:
(a) This Power of Attorney authorizes, but does not require, the
Attorney-in-Fact to act in his or her discretion on information
provided to such Attorney-in-Fact without independent verification of
such information;
(b) Any documents prepared or executed by the Attorney-in-Fact on behalf
of the undersigned pursuant to this Power of Attorney will be in such
form and will contain such information as the Attorney-in-Fact, in
his or her discretion, deems necessary or desirable;
(c) Neither the Company nor the Attorney-in-Fact assumes any liability
for the undersigned's responsibility to comply with the requirements
of the Companies Act or Section 13 or Section 16 of the Exchange Act
or Rule 144, any liability of the undersigned for any failure to
comply with such requirements, or any liability of the undersigned
for disgorgement of profits under Section 16(b) of the Exchange Act;
and
(d) This Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations
under the Companies Act or Section 13 or Section 16 of the Exchange
Act, including, without limitation, the reporting requirements under
Section 13 or Section 16 of the Exchange Act.
The undersigned hereby grants to the Attorney-in-Fact full power and authority
to do and perform each and every act and thing requisite, necessary or
advisable to be done in connection with the foregoing, as fully, to all intents
and purposes, as the undersigned might or could do in person, hereby ratifying
and confirming all that the Attorney-in-Fact, or his or her substitute or
substitutes, shall lawfully do or cause to be done by authority of this Power
of Attorney.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 4 or 5 or Schedules 13D or 13G
or Forms 144 and make disclosure under the Companies Act with respect to the
undersigned's holdings of and transactions in securities of the Company, unless
earlier revoked by the undersigned in a signed writing delivered to the
Attorney-in-Fact. This Power of Attorney revokes all previous powers of
attorney with respect to the subject matter of this Power of Attorney.
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of
April 6, 2022.
/s/ Paul M. Bisaro
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Paul M. Bisaro
