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)
09/18/2019
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3. Issuer Name and Ticker or Trading Symbol
KIMBERLY CLARK CORP
[ KMB ]
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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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Jeffrey S. McFall as attorney-in-fact for Mark T. Smucker |
09/19/2019 |
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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. |
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned does hereby
constitute and appoint Jeffrey P. Melucci, Jeffrey S. McFall and Grant B. McGee,
and each of them, with full power to act alone, as true and lawful
attorney-in-fact and agent, with full power of substitution and resubstitution,
for and in the undersigned name, place and stead, in any and all capacities, to
execute and acknowledge Form 144 under the Securities Act of 1933, as amended
(the "Securities Act"), and Rule 144 thereunder, and Forms 3, 4 and 5 pursuant
to Section 16(a) of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), and the rules and regulations thereunder, any amendments to
such forms, and any and all other documents (and amendments thereto), including,
without limitation, Form ID, necessary or desirable to facilitate the filing
by the undersigned of Form 144 and forms under Section 16(a) of the Exchange
Act, with respect to securities of Kimberly-Clark Corporation (the "Company"),
and to deliver and file the same with all exhibits thereto, and all other
documents in connection therewith, to and with the Securities and Exchange
Commission, the national securities exchanges and the Company, granting unto
said attorneys-in-fact and agents, and each of them, full power and authority to
do and perform each and every act and thing requisite and necessary to be
done, as fully to all intents and purposes as the undersigned might or could do
in person, hereby ratifying and confirming all that said attorneys-in-fact and
agents or any one of them, or his substitute or their substitutes, lawfully do
or cause to be done by virtue hereof. The undersigned agrees that each of the
attorneys-in-fact herein may rely entirely on information furnished orally or in
writing by the undersigned to such attorney-in-fact.
The validity of this Power of Attorney shall not be affected in any
manner by reason of the execution, at any time, of other powers of attorney by
the undersigned in favor of persons other than those named herein.
This Power of Attorney shall continue in full force and effect until
the undersigned is no longer required to file Form 3, Form 4, Form 5 or Form
144 with regard to ownership of or transactions in securities of the Company,
unless earlier revoked in writing. The undersigned acknowledges that the
foregoing attorneys-in-fact are not assuming any of the undersigned
responsibilities to comply with Rule 144 under the Securities Act or Section 16
of the Exchange Act.
IN WITNESS WHEREOF, I have hereunto set my hand effective this 19th
day of September, 2019.
_/s/ Mark T. Smucker________
Mark T.
Smucker
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