-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RKrznNMGF5CHOFOqInwG5qIcWlTilbc02d1U7bh7n2SO5WlhsolupJgpElmkvDjc UibKZ4w+zJq++QIKo8g/4A== 0001172876-10-000003.txt : 20101214 0001172876-10-000003.hdr.sgml : 20101214 20101214191806 ACCESSION NUMBER: 0001172876-10-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20101214 FILED AS OF DATE: 20101214 DATE AS OF CHANGE: 20101214 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 BUSINESS ADDRESS: STREET 1: 655 ENGINEERING DRIVE STREET 2: SUITE 300 CITY: NORCROSS STATE: GA ZIP: 30092 BUSINESS PHONE: 800-877-9019 MAIL ADDRESS: STREET 1: 655 ENGINEERING DRIVE STREET 2: SUITE 300 CITY: NORCROSS STATE: GA ZIP: 30092 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHESTNUT HILL VENTURES LLC CENTRAL INDEX KEY: 0001172876 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35004 FILM NUMBER: 101251798 BUSINESS ADDRESS: STREET 1: 60 WILLIAM ST STREET 2: SUTIE 230 CITY: WELLESLEY STATE: MA ZIP: 02481 BUSINESS PHONE: 7814891200 MAIL ADDRESS: STREET 1: 60 WILLIAM ST STREET 2: SUTIE 230 CITY: WELLESLEY STATE: MA ZIP: 02481 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chestnut Hill Fuel, LLC CENTRAL INDEX KEY: 0001507860 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35004 FILM NUMBER: 101251797 BUSINESS ADDRESS: STREET 1: C/O CHESTNUT HILL VENTURES LLC STREET 2: 60 WILLIAM STREET, SUITE 230 CITY: WELLESLEY STATE: MA ZIP: 02481 BUSINESS PHONE: 781-489-1200 MAIL ADDRESS: STREET 1: C/O CHESTNUT HILL VENTURES LLC STREET 2: 60 WILLIAM STREET, SUITE 230 CITY: WELLESLEY STATE: MA ZIP: 02481 3 1 primary_doc.xml PRIMARY DOCUMENT X0203 3 2010-12-14 0 0001175454 FLEETCOR TECHNOLOGIES INC FLT 0001172876 CHESTNUT HILL VENTURES LLC 60 WILLIAM ST SUITE 230 WELLESLEY MA 02481 0 0 1 0 0001507860 Chestnut Hill Fuel, LLC C/O CHESTNUT HILL VENTURES LLC 60 WILLIAM STREET, SUITE 230 WELLESLEY MA 02481 0 0 1 0 Common Stock 9353417 I By Chestnut Hill Fuel, LLC These shares are owned directly by Chestnut Hill Fuel, LLC, which is a direct wholly owned subsidiary of GCC Investments, LLC, which is a direct and indirect wholly owned subsidiary of Chestnut Hill Ventures LLC. GCC Investments, LLC and Chestnut Hill Ventures LLC are indirect beneficial owners of the reported securities. David L. Coombs, as Attorney-in-Fact 2010-12-14 EX-24 2 chv_poa.txt POWER OF ATTORNEY POWER OF ATTORNEY In connection with the ownership, acquisition or disposition of securities of FleetCor Technologies, Inc. (or any other securities issued in respect thereof), the undersigned hereby appoints Timothy B. Bancroft, David L. Coombs and each other attorney with Goulston & Storrs, P.C., or any of them, its agent to obtain from the Electronic Data Gathering and Retrieval system of the United States Securities and Exchange Commission ("SEC") the unique identifiers required to make electronic filings with the SEC, and to make, subject to the approval of the undersigned, any electronic filings (or amendments thereto) pursuant to Sections 13 or 16 of the Securities Exchange Act of 1934, as amended. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed this 14th day of December, 2010. CHESTNUT HILL VENTURES LLC By: /s/ Demos Kouvaris Name: Demos Kouvaris Title: COO and CFO COMMONWEALTH OF MASSACHUSETTS Location: Norfolk County, Massachusetts, USA December 14, 2010 On this 14th day of December, 2010, before me, the undersigned notary public, personally appeared Demos Kouvaris, proved to me though satisfactory identification, which was [driver's license] or [based on the undersigned's personal knowledge of the identity of the principal], to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose as a duly authorized representative of Chestnut Hill Ventures LLC. /s/ Jessica M. Baldino Notary Public My Commission Expires: July 15, 2016 EX-24 3 chf_poa.txt POWER OF ATTORNEY POWER OF ATTORNEY In connection with the ownership, acquisition or disposition of securities of FleetCor Technologies, Inc. (or any other securities issued in respect thereof), the undersigned hereby appoints Timothy B. Bancroft, David L. Coombs and each other attorney with Goulston & Storrs, P.C., or any of them, its agent to obtain from the Electronic Data Gathering and Retrieval system of the United States Securities and Exchange Commission ("SEC") the unique identifiers required to make electronic filings with the SEC, and to make, subject to the approval of the undersigned, any electronic filings (or amendments thereto) pursuant to Sections 13 or 16 of the Securities Exchange Act of 1934, as amended. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed this 14th day of December, 2010. CHESTNUT HILL FUEL, LLC By: /s/ Demos Kouvaris Name: Demos Kouvaris Title: Vice President COMMONWEALTH OF MASSACHUSETTS Location: Norfolk County, Massachusetts, USA December 14, 2010 On this 14th day of December, 2010, before me, the undersigned notary public, personally appeared Demos Kouvaris, proved to me though satisfactory identification, which was [driver's license] or [based on the undersigned's personal knowledge of the identity of the principal], to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose as a duly authorized representative of Chestnut Hill Fuel, LLC. /s/ Jessica M. Baldino Notary Public My Commission Expires: July 15, 2016 -----END PRIVACY-ENHANCED MESSAGE-----