0001181431-12-062588.txt : 20121205
0001181431-12-062588.hdr.sgml : 20121205
20121205161915
ACCESSION NUMBER: 0001181431-12-062588
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121203
FILED AS OF DATE: 20121205
DATE AS OF CHANGE: 20121205
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: 121243689
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
rrd362102.xml
FORM 4
X0306
4
2012-12-03
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
0
0
Common Stock
2012-12-03
4
S
0
1301743
51.91
D
5831332
I
See Footnotes
Common Stock
2012-12-03
4
D
0
1444808
51.91
D
4386524
I
See Footnotes
Represents shares of Common sold in an underwritten secondary offering (the "Offering").
Represents shares of Common Stock repurchased (the "Repurchase") by Fleetcor Technologies, Inc.
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., which is the sole general partner of Bain Capital Fund VIII, L.P., which is the sole member of Bain Capital Fund VIII, LLC ("Fund VIII"). On December 3, 2012, Fund VIII sold 1,248,048 shares of Common Stock in the Offering and 1,387,148 shares of Common Stock in the Repurchase. Following such sale, Fund VIII held 4,211,464 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 December 3, 2012, BCIP-A sold 27,943 shares of Common Stock in the Offering and 31,880 shares of Common Stock in the Repurchase . Following such sale, BCIP-A held 96,788 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 December 3, 2012 BCIP-TA sold 15,515 shares of Common Stock in the Offering and 14,944 shares of Common Stock in the Repurchase. Following such sale, BCIP-TA held 45,372 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 December 3, 2012 BCIP-AB sold 1,600 shares of Common Stock in the Offering and 2,517 shares of Common Stock in the Repurchase. Following such sale, BCIP-AB held 7,643 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 December 3, 2012 BCIP-TAB sold 8,254 shares of Common Stock in the Offering and 7,950 shares of Common Stock in the Repurchase. Following such sale, BCIP-TAB held 24,138 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 December 3, 2012 BCIP-AG sold 383 shares of Common Stock in the Offering and 369 shares of Common Stock in the Repurchase. Following such sale, BCIP-TAB held 1,119 shares of Common Stock.
By virtue of the relationships described in the foregoing footnotes, Mr. Balson may be deemed to beneficially own securities held by the Bain Entities. Mr. Balson disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
/s/ Andrew Balson
2012-12-05