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
|
| 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 SIANA CARR O'CONNOR & LYNAM |
| 1500 EAST LANCASTER AVENUE |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
12/15/2021
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3. Issuer Name and Ticker or Trading Symbol
AMKOR TECHNOLOGY, INC.
[ AMKR ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
| Member of 10% Owner Group (2) |
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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 |
2,353,347
|
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)
|
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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/s/ Richard D. Rosen, Attorney-in-Fact |
01/24/2022 |
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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
LIMITED POWER OF ATTORNEY
Know all by these presents, that each of the undersigned hereby makes,
constitutes and appoints Mark Rogers, Megan Faust and Richard D. Rosen (any of
whom may act individually) as the true and lawful attorney-in-fact of each of
the undersigned, with full power and authority as hereinafter described on
behalf of and in the name, place and stead of each of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5
(including any amendments thereto) and any Schedule 13D (including any
amendments thereto) with respect to the securities of Amkor Technology, Inc., a
Delaware corporation (the "Company"), with the United States Securities and
Exchange Commission, any national securities exchanges and the Company, as
considered necessary or advisable under Section 16(a) of the Securities
Exchange Act of 1934 and the rules and regulations promulgated thereunder, as
amended from time to time (the "Exchange Act"), including obtaining any filing
codes or reissuance of existing filing codes, if necessary, in connection
therewith;
(2) seek or obtain, as the representative of each of the undersigned and on
behalf of each of the undersigned, information on transactions in the Company's
securities from any third party, including brokers, employee benefit plan
administrators and trustees, and the undersigned hereby authorizes any such
person to release any such information to such attorney-in-fact and approves
and ratifies any such release of information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the
undersigned in connection with the foregoing.
Each of the undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, such attorney-
in-fact to act in his or her discretion on information provided to such
attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by such attorney-in-fact on
behalf of any of the undersigned pursuant to this Power of Attorney will be in
such form and will contain such information and disclosure as such attorney-in-
fact, in his or her discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability
for any of the undersigneds' responsibility to comply with the requirements of
the Exchange Act, (ii) any liability of any of the undersigned for any failure
to comply with such requirements, or (iii) any obligation or liability of any
of the undersigned for profit disgorgement under Section 16(b) of the Exchange
Act;
(4) this Power of Attorney does not relieve any of the undersigned from
responsibility for compliance with any of the undersigneds' obligations under
the Exchange Act, including without limitation the reporting requirements under
Section 16 of the Exchange Act; and
(5) this Power of Attorney supersedes and replaces any prior power of
attorney executed by any of the undersigned for any of the purposes set forth
herein.
Although this Power of Attorney supersedes and replaces any prior power
of attorney executed by any of the undersigned for any of the purposes set
forth herein, each of the undersigned hereby ratifies and approves of any
actions taken pursuant to any prior power of attorney for any of the purposes
set forth herein, including without limitation the granting thereof by any of
the undersigned on his, her or its behalf. Each of the undersigned hereby gives
and grants the foregoing attorney-in-fact full power and authority to do and
perform all and every act and thing whatsoever requisite, necessary or
appropriate to be done in and about the foregoing matters as fully to all
intents and purposes as the undersigned might or could do if present, hereby
ratifying all that such attorney-in-fact shall lawfully do or cause to be done
of, for and on behalf of any of the undersigned by virtue of this Power of
Attorney.
This Power of Attorney may be executed in several counterparts, each of
which shall be deemed an original but all of which shall constitute one and the
same instrument.
This Power of Attorney shall remain in full force and effect until
revoked by any of the undersigned in a signed writing delivered to the
attorney-in-fact.
IN WITNESS WHEREOF, the undersigned have each caused this Power of
Attorney to be executed as of the 15th day of December, 2021.
Entity covered by this Power of Attorney:
Qualified Annuity Trust Under the James J. Kim 2020-1Qualified Annuity
Trust Agreement dtd 12/15/2021.
QUALIFIED ANNUITY TRUST UNDER THE
JAMES J. KIM 2021 QUALIFIED ANNUITY
TRUST AGREEMENT DATED 12/15/2021
By: /s/ James J. Kim
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James J. Kim, Trustee
By: /s/ Susan Y. Kim
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Susan Y. Kim, Trustee
