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*
| 312 WALNUT STREET |
| 28TH FLOOR |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
09/25/2017
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3. Issuer Name and Ticker or Trading Symbol
E.W. SCRIPPS Co
[ SSP ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| SVP, National Media |
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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)
|
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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| Class A Common Shares, $.01 par value per share |
3,579 |
D |
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| Common Voting Shares, $.01 par value per share |
0 |
D |
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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 |
| Restricted Stock Units |
03/01/2018 |
03/01/2020 |
Restricted Stock Units |
2,315
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|
D |
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| Restricted Stock Units |
03/09/2017 |
03/09/2019 |
Restricted Stock Units |
1,130
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|
D |
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| Restricted Stock Units |
03/09/2016 |
03/09/2018 |
Restricted Stock Units |
722
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|
D |
|
| Restricted Stock Units |
09/01/2018 |
09/01/2020 |
Restricted Stock Units |
10,758
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|
D |
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| Explanation of Responses: |
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| Remarks: |
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/s/ William Appleton, Attorney-in-fact for Laura Tomlin |
09/26/2017 |
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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. |
BE IT KNOWN, that Laura Tomlin, Senior Vice President, National Media of The E.
W. Scripps Company, effective August 23, 2017, does hereby make and appoint each
of Timothy M. Wesolowski, Executive Vice President, Chief Financial Officer,
William Appleton, Executive Vice President and General Counsel, and Julie
McGehee, Vice President, Benefits and Compensation and Corporate Secretary of
The E. W. Scripps Company, or any person designated by him or her, as his true
and lawful attorney for him and in his name, place and stead, giving and
granting to each the power and authority to sign and file reports required under
Section 16(a) of the Securities and Exchange Act of 1934, with full power of
substitution and revocation, hereby ratifying and confirming such act(s) that
any said attorney shall lawfully do or cause to be done by virtue hereof.
Executed on August 23, 2017.
/s/ Laura Tomlin
