SEC 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
|Estimated average burden|
|hours per response:
1. Name and Address of Reporting Person*
|C/O U.S. CONCRETE, INC.|
|331 N. MAIN ST.|
2. Date of Event Requiring Statement
3. Issuer Name and Ticker or Trading Symbol
US CONCRETE INC
[ USCR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
5. If Amendment, Date of Original Filed
6. Individual or Joint/Group Filing (Check Applicable Line)
||Form filed by One Reporting Person
||Form filed by More than One Reporting Person
|Table I - Non-Derivative Securities Beneficially Owned|
|1. Title of Security (Instr.
Amount of Securities Beneficially Owned (Instr.
||3. Ownership Form: Direct (D) or Indirect (I) (Instr.
||4. Nature of Indirect Beneficial Ownership (Instr.
Table II - Derivative Securities Beneficially Owned|
(e.g., puts, calls, warrants, options, convertible securities)
|1. Title of Derivative Security (Instr.
||2. Date Exercisable and Expiration Date
||3. Title and Amount of Securities Underlying Derivative Security (Instr.
||4. Conversion or Exercise Price of Derivative Security
||5. Ownership Form: Direct (D) or Indirect (I) (Instr.
||6. Nature of Indirect Beneficial Ownership (Instr.
||Amount or Number of Shares
|Explanation of Responses:|
|No securities are beneficially owned.|
||/s/ CiCi S. Sepehri, as Attorney-in-Fact for Susan Michelle Ball
||** Signature of Reporting Person
|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,
|** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
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,
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.|
U.S. CONCRETE, INC.
Power of Attorney
WHEREAS, the undersigned in his, her or its capacity as a director, officer or beneficial
owner of securities, or any combination thereof, as the case may be, of U.S. Concrete, Inc., a
Delaware corporation (the "Company"), may be required to file with the Securities and
Exchange Commission (the "Commission") under Section 16 of the Securities Exchange Act of
1934, as amended, and the rules and regulations promulgated thereunder, a Form ID Application
and Forms 3, 4 and 5 (the "Forms") relating to the undersigned's ownership of certain securities
of the Company;
NOW, THEREFORE, the undersigned in his, her or its capacity as a director, officer or
beneficial owner, or combination thereof, as the case may be, of the Company, does hereby
appoint Paul M. Jolas and CiCi S. Sepehri, and each of them severally his, her or its true and
lawful attorney(s)-in-fact and agent(s) with power to act without the other and with full power of
substitution and re-substitution, to execute in the undersigned's name, place and stead, in his, her
or its capacity as a director, officer or beneficial owner of securities, or any combination thereof,
as the case may be, of the Company, the Forms and any and all amendments thereto and any and
instruments necessary or incidental in connection therewith, if any, and to file the same with
the Commission, and to appear before the Commission in connection with any matter relating
thereto. Each of said attorneys-in-fact and agents shall have full power and authority to do and
perform in the name and on behalf of the undersigned in any and all capacities, every act
whatsoever necessary or desirable to be done in the premises, as fully and to all intents and
purposes as the undersigned might or could do in person, the undersigned hereby ratifying and
approving the acts of said attorneys and each of them. The rights, powers and authority of said
attorneys-in-fact and agents herein granted shall remain in full force and effect until revoked by
the undersigned by giving written notice of such revocation to the Company.
IN WITNESS WHEREOF, the undersigned has executed this instrument this 1st day of
/s/ Susan Ball