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*
|2795 EAST COTTONWOOD PARKWAY|
2. Date of Event Requiring Statement
3. Issuer Name and Ticker or Trading Symbol
Extra Space Storage Inc.
[ EXR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
|Senior VP & Snr. Legal Counsel||
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
Contingent Conversion Shares
|Explanation of Responses:|
||/s/ Kenneth R. Beck, Attorney in Fact
||** 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.|
POWER OF ATTORNEY
FOR SEC FILINGS ON FORMS 3, 4, 5 AND 144
IN RESPECT OF SECURITIES OF
EXTRA SPACE STORAGE INC.
The undersigned hereby constitutes and appoints Kent W. Christensen,
Charles L. Allen and Kenneth R. Beck or any one of them acting alone, as his
true and lawful attorney-in-fact and agent, with full power of substitution and
resubstitution for him in his name and stead in any and all capacities, to sign
and file for and on his behalf, in respect of any acquisition, disposition or
other change in ownership of any shares of common stock of Extra Space Storage
Inc. (the "Company"), the following:
(i) any Initial Statement of Beneficial Ownership of Securities on
Form 3 to be filed with the Securities and Exchange Commission;
(ii) any Statement of Changes of Beneficial Ownership of Securities on
Form 4 to be filed with the Securities and Exchange Commission;
(iii) any Annual Statement of Beneficial Ownership of Securities on
Form 5 to be filed with the Securities and Exchange Commission;
(iv) any Notice of Proposed Sale of Securities on Form 144 to be filed
with the Securities and Exchange Commission; and
(v) any and all agreements, certificates, receipts, or other documents
in connection therewith.
The undersigned hereby gives full power and authority to the
(i) seek and obtain as the undersigned's representative and on the
undersigned's behalf, 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 such information to the undersigned and approves and
ratifies any such release of information.
The undersigned hereby grants unto such attorney-in-fact and agent full
power and authority to do and perform each and every act and thing
requisite and necessary in connection with such matters and hereby ratifies
and confirms all that any such attorney-in-fact and agent or substitute may
do or cause to be done by virtue hereof.
The undersigned acknowledges that:
(i) neither the Company nor such attorney-in-fact assumes (i) any
liability for the undersigned's responsibility to comply with the
requirement of the Exchange Act, (ii) any liability of the undersigned for
any failure to comply with such requirements, or (iii) any obligation or
liability of the undersigned for profit disgorgement under Section 16(b) of
the Exchange Act; and
(ii) this Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under the
Exchange Act, including without limitation the reporting requirements under
Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until
revoked by the undersigned in a signed writing delivered to such
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney.
Date: August 3, 2004
/s/ Charles L. Allen
Name: Charles L. Allen