0001144204-19-027060.txt : 20190517 0001144204-19-027060.hdr.sgml : 20190517 20190517161953 ACCESSION NUMBER: 0001144204-19-027060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190515 FILED AS OF DATE: 20190517 DATE AS OF CHANGE: 20190517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WYSZOMIERSKI JACK L CENTRAL INDEX KEY: 0001023225 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37760 FILM NUMBER: 19835941 MAIL ADDRESS: STREET 1: SCHERING PLOUGH CORP STREET 2: ONE GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940-1000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SiteOne Landscape Supply, Inc. CENTRAL INDEX KEY: 0001650729 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE SERVICES [0700] IRS NUMBER: 364485550 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 BUSINESS PHONE: (770) 255-2146 MAIL ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 4 1 tv521914_4.xml OWNERSHIP DOCUMENT X0306 4 2019-05-15 0 0001650729 SiteOne Landscape Supply, Inc. SITE 0001023225 WYSZOMIERSKI JACK L MANSELL OVERLOOK 300 COLONIAL CENTER PARKWAY, SUITE 600 ROSWELL GA 30076 1 0 0 0 Common Shares 2019-05-15 4 A 0 1589 0.00 A 12210 D Represents deferred stock units granted as director fees. The deferred stock units are fully vested on grant, but settlement is deferred until the earlier of Mr. Wyszomierski's termination of board service or a change in control of the Issuer. Includes deferred stock units. /s/ Briley Brisendine, Attorney-in-fact for Jack L. Wyszomierski 2019-05-17