SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Bauza Carmen

(Last) (First) (Middle)
4001 204TH STREET SW

(Street)
LYNNWOOD WA 98036

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Zumiez Inc [ ZUMZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/01/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/01/2022 A 2,729(1) A $0.00 3,386 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The vesting commencement date shall be the date of the next annual meeting of shareholders, which is generally scheduled to take place approximately 1 year from the Grant Date in the event the Grantee does not have a Separation from Service prior to this vesting date.
Remarks:
Chris Visser, as Attorney-in-Fact for Carmen R. Bauza 06/02/2022
** 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 4 (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

Zumiez Inc.

1. Designation of Attorneys-in-Fact.  The
undersigned, hereby designates Chris K. Visser, an
individual with full power of substitution, as my
attorney-in-fact to act for me and in my name, place
and stead, and on my behalf in connection with the
matters set forth in Item 2 below.

2. Powers of Attorney-in-Fact.  Each attorney-
in-fact, as fiduciary, shall have the authority to sign
all such U.S. Securities and Exchange Commission
("SEC") reports, forms and other filings, specifically
including but not limited to Forms 3, 4, 5 and 144, as
such attorney-in-fact deems necessary or desirable in
connection with the satisfaction of my reporting
obligations under the rules and regulations of the SEC.

3. Effectiveness.  This power of attorney shall
become effective upon the execution of this document.

4. Duration.  This power of attorney shall
remain in effect until revoked by me.  This power of
attorney shall not be affected by disability of the
principal.

5. Revocation.  This power of attorney may be
revoked in writing at any time by my giving written
notice to the attorney-in-fact.  If this power of
attorney has been recorded, the written notice of
revocation shall also be recorded.

	Date:  May 9, 2022

	__Carmen R. Bauza____
	  Carmen R. Bauza

STATE OF FLORIDA	)
COUNTY OF SARASOTA	)

SIGNED OR ATTESTED before me on 05/09/22 by Carmen R. Bauza.

		__Bianca________
		Signature of Notary Public

		__Bianca Nicoleta Popa_________
(SEAL)	Typed Name of Notary Public
		Residing at: Sarasota, FL
		My commission expires: _08/21/22_