0001181431-12-035838.txt : 20120611
0001181431-12-035838.hdr.sgml : 20120611
20120611173741
ACCESSION NUMBER: 0001181431-12-035838
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120607
FILED AS OF DATE: 20120611
DATE AS OF CHANGE: 20120611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BALSON ANDREW
CENTRAL INDEX KEY: 0001212449
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35004
FILM NUMBER: 12901469
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: 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
4
1
rrd348337.xml
FORM 4
X0305
4
2012-06-07
0
0001175454
FLEETCOR TECHNOLOGIES INC
FLT
0001212449
BALSON ANDREW
C/O BAIN CAPITAL INVESTORS, LLC
JOHN HANCOCK TOWER, 200 CLARENDON STREET
BOSTON
MA
02116
1
0
1
0
Common Stock
2012-06-07
4
J
0
228645
0
D
9102687
I
See Footnotes
Common Stock
2012-06-07
4
S
0
1771355
36.95
D
7331332
I
See Footnotes
Andrew Balson is a Managing Director of Bain Capital Investors, LLC ("BCI"). BCI is the sole general partner of Bain Capital Partners VIII, L.P. ("BCP VIII"), which is the sole general partner of Bain Capital Fund VIII, L.P. ("BCF VIII"), which is the sole member of Bain Capital Fund VIII, LLC ("Fund VIII"). On June 7, 2012, Fund VIII sold 1,699,761 shares of Common Stock. Following such sale, Fund VIII held 7,038,750 shares of Common Stock.
BCI is also the managing partner of BCIP Associates III, which is the sole manager of BCIP Associates III, LLC ("BCIP-A"). On June 7, 2012, BCIP-A sold 37,256 shares of Common Stock. Following such sale, BCIP-A held 161,765 shares of Common Stock.
BCI is also the managing partner of BCIP Trust Associates III, which is the sole manager of BCIP T Associates III, LLC ("BCIP-TA"). On June 7, 2012, BCIP-TA sold 20,687 shares of Common Stock. Following such sale, BCIP-TA held 75,831 shares of Common Stock.
BCI is also the managing partner of BCIP Associates III-B, which is the sole manager of BCIP Associates III-B, LLC ("BCIP-AB"). On June 7, 2012, BCIP-AB sold 2,134 shares of Common Stock. Following such sale, BCIP-AB held 12,773 shares of Common Stock.
BCI is also the managing partner of BCIP Trust Associates III-B, which is the sole manager of BCIP T Associates III-B, LLC ("BCIP-TAB"). On June 7, 2012, BCIP-TAB sold 11,006 shares of Common Stock. Following such sale, BCIP-TAB held 40,342 shares of Common Stock.
BCI is also the managing partner of BCIP Associates-G ("BCIP-AG" and together with Fund VIII, BCIP-A, BCIP-TA, BCIP-AB and BCIP-TAB, the "Bain Entities"). On June 7, 2012, BCIP-AG sold 511 shares of Common Stock. Following such sale, BCIP-AG held 1,871 shares of Common Stock.
By virtue of the relationships described in the foregoing footnotes, Mr. Balson may be deemed to share voting and dispositive power with respect to all of the Issuer's securities held by the Bain Entities. Mr. Balson disclaims beneficial ownership of the Issuer's securities held by each of the Bain Entities except to the extent of his pecuniary interest therein.
On June 7, 2012, the Bain Entities distributed 228,645 shares of Common Stock to one or more members or partners of the Bain Entities in connection with certain charitable gifts made by such members or partners on June 7, 2012.
/s/ Andrew Balson
2012-06-11