0001140361-17-008341.txt : 20170221
0001140361-17-008341.hdr.sgml : 20170221
20170221163054
ACCESSION NUMBER: 0001140361-17-008341
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170217
FILED AS OF DATE: 20170221
DATE AS OF CHANGE: 20170221
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FLEETCOR TECHNOLOGIES INC
CENTRAL INDEX KEY: 0001175454
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5445 TRIANGLE PARKWAY
STREET 2: SUITE 400
CITY: NORCROSS
STATE: GA
ZIP: 30092
BUSINESS PHONE: 800-877-9019
MAIL ADDRESS:
STREET 1: 5445 TRIANGLE PARKWAY
STREET 2: SUITE 400
CITY: NORCROSS
STATE: GA
ZIP: 30092
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAGERTY THOMAS M
CENTRAL INDEX KEY: 0001058835
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35004
FILM NUMBER: 17625444
MAIL ADDRESS:
STREET 1: C/O THOMAS H. LEE PARTNERS, L.P.
STREET 2: 100 FEDERAL STREET, 35 FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02110
4
1
form4.xml
FORM 4
X0306
4
2017-02-17
0001175454
FLEETCOR TECHNOLOGIES INC
FLT
0001058835
HAGERTY THOMAS M
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR
BOSTON
MA
02110
true
Common Stock
2017-02-17
4
J
0
3224
0
D
1667
D
Common Stock
2017-02-17
4
J
0
3224
0
A
3224
I
See Footnote
Shares of the Issuer were issued to the Reporting Person in connection with the Reporting Person's service as a director of the Issuer. Pursuant to the operative agreements for Thomas H. Lee Equity Fund VI, L.P. ("Fund VI") and Thomas H. Lee Partners, L.P. ("THL Partners"), any securities issued to persons affiliated with and/or serving as a director of entities in which Fund VI has or could be deemed to have a direct or indirect interest (each, a "Covered Entity"), such as the Issuer, are to be held by THL Managers VI, LLC ("Managers VI"), to the extent permitted by the Covered Entity and/or the plan pursuant to which such securities were granted. The transfer of the shares by the Reporting Person referred to in this Form 4, and the related indirect acquisition of such shares also reported by the Reporting Person on this Form 4, are being effectuated as required by such operative agreements now that the restrictions on the shares have lapsed.
Represents shares of the Issuer held by the Reporting Person directly which are being transferred for no consideration to Managers VI.
Represents shares of the Issuer acquired by Managers VI from the Reporting Person. The Reporting Person is a Managing Director of THL Partners, which is the managing member of Managers VI. Therefore, the Reporting Person may be deemed to beneficially own the shares of the Issuer owned directly by Managers VI. The Reporting Person disclaims beneficial ownership of all shares of the Issuer owned by Managers VI, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such shares for the purposes of Section 16 or for any other purpose, except to the extent of the Reporting Person's pecuniary interest therein.
/s/ Thomas M. Hagerty
2017-02-21