0001209191-15-075074.txt : 20151009
0001209191-15-075074.hdr.sgml : 20151009
20151009164621
ACCESSION NUMBER: 0001209191-15-075074
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151001
FILED AS OF DATE: 20151009
DATE AS OF CHANGE: 20151009
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BEACON ROOFING SUPPLY INC
CENTRAL INDEX KEY: 0001124941
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 505 HUNTMAR PARK DRIVE
STREET 2: SUITE 300
CITY: HERNDON
STATE: VA
ZIP: 20170
BUSINESS PHONE: 571-323-3939
MAIL ADDRESS:
STREET 1: 505 HUNTMAR PARK DRIVE
STREET 2: SUITE 300
CITY: HERNDON
STATE: VA
ZIP: 20170
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Roadhouse Holdings, L.P.
CENTRAL INDEX KEY: 0001654929
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50924
FILM NUMBER: 151153577
BUSINESS ADDRESS:
STREET 1: C/O MAPLES CORPORATE SERVICES LIMITED
STREET 2: UGLAND HOUSE, SOUTH CHURCH STREET
CITY: GEORGE TOWN, GRAND CAYMAN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 2124075200
MAIL ADDRESS:
STREET 1: C/O CLAYTON DUBILIER & RICE, LLC
STREET 2: 375 PARK AVENUE, 18TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10152
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Investment Associates VIII, Ltd.
CENTRAL INDEX KEY: 0001474785
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50924
FILM NUMBER: 151153578
BUSINESS ADDRESS:
STREET 1: C/O M&C CORPORATE SERVICES LTD.
STREET 2: PO BOX 309
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 345-949-8066
MAIL ADDRESS:
STREET 1: C/O M&C CORPORATE SERVICES LTD.
STREET 2: PO BOX 309
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R ASSOCIATES VIII, LP
CENTRAL INDEX KEY: 0001474716
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50924
FILM NUMBER: 151153579
BUSINESS ADDRESS:
STREET 1: C/O M&C CORPORATE SERVICES LTD.
STREET 2: PO BOX 309
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 345-949-8066
MAIL ADDRESS:
STREET 1: C/O M&C CORPORATE SERVICES LTD.
STREET 2: PO BOX 309
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Associates VIII, Ltd.
CENTRAL INDEX KEY: 0001474786
STATE OF INCORPORATION: E9
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50924
FILM NUMBER: 151153580
BUSINESS ADDRESS:
STREET 1: C/O M&C CORPORATE SERVICES LTD.
STREET 2: P.O. BOX 309
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 345-949-8066
MAIL ADDRESS:
STREET 1: C/O M&C CORPORATE SERVICES LTD.
STREET 2: P.O. BOX 309
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2015-10-01
0
0001124941
BEACON ROOFING SUPPLY INC
BECN
0001474786
CD&R Associates VIII, Ltd.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001474716
CD&R ASSOCIATES VIII, LP
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001474785
CD&R Investment Associates VIII, Ltd.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001654929
CD&R Roadhouse Holdings, L.P.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
Common Stock
8536500
I
By affiliate
CD&R Roadhouse Holdings, L.P. ("CD&R Holdings") directly owns 8,536,500 shares of Common Stock. CD&R Associates VIII, Ltd., as the general partner of CD&R Holdings, CD&R Associates VIII, L.P., as the sole stockholder of CD&R Associates VIII, Ltd., and CD&R Investment Associates VIII, Ltd., as the general partner of CD&R Associates VIII, L.P., may each be deemed to beneficially own the shares of Common Stock held by CD&R Holdings.
Each of CD&R Associates VIII, Ltd., CD&R Associates VIII, L.P. and CD&R Investment Associates VIII, Ltd. expressly disclaims beneficial ownership of the shares of Common Stock held by CD&R Holdings, except to the extent of its pecuniary interest therein.
CD&R Associates VIII, Ltd. By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2015-10-09
CD&R Associates VIII, L.P. By: CD&R Investment Associates VIII, Ltd., its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2015-10-09
CD&R Investment Associates VIII, Ltd. By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2015-10-09
CD&R Roadhouse Holdings, L.P. By: CD&R Associates VIII, Ltd., its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2015-10-09