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*
| C/O AMC ENTERTAINMENT INC. |
| 920 MAIN ST. |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
05/01/2013
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3. Issuer Name and Ticker or Trading Symbol
National CineMedia, Inc.
[ NCMI ]
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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 |
|
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)
|
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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| Common Stock |
0 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 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: |
|
|
/s/ Craig R. Ramsey |
05/01/2013 |
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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. |
LIMITED POWER OF ATTORNEY FOR SEC FILINGS
The undersigned, Craig R. Ramsey, hereby constitutes and appoints
Maria Woods of National CineMedia, Inc. and subsidiaries, and their
respective successors in office, and anyone of them, acting singly, as the
undersigned's true and lawful attorney-in-fact to prepare, sign and file,
on the undersigned's behalf, all Forms 3, 4 and 5 (including any amendments
thereto) that the undersigned may be required to file with the Securities
and Exchange Commission and any stock exchange or similar authority as a
result of the undersigned's ownership of, or transactions in, securities of
National CineMedia, Inc. and subsidiaries, and to take any other action of
any type in connection with the foregoing which, in the opinion of said
attorney-in-fact, may be of benefit to, in the best interest of or legally
required by the undersigned. The undersigned acknowledges that neither Maria
Woods, or successors in office or substitutes of National CineMedia, Inc. is
assuming any of the undersigned's responsibilities to comply with Section 16
of the Securities Exchange Act of 1934.
The authority herein conferred shall continue until the undersigned
is no longer required to file Forms 3, 4 and 5 with regard to his or her
ownership of, or transactions in, securities of National CineMedia, Inc.,
unless earlier revoked by the undersigned in a signed writing delivered to
the foregoing attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Power of
Attorney as of this 30th day of April, 2013.
By: /s/ Craig R. Ramsey
Name: Craig R. Ramsey
Title: Director
