-----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, D/oIIBlpKnAX40/3sFvsGE3lMuWto9qsK3XgQkDksN9TTlWXkSK9bLWtWRuho+s2 kb/F9J16QUbizSjEoeq79g== 0001298834-10-000005.txt : 20101214 0001298834-10-000005.hdr.sgml : 20101214 20101214184802 ACCESSION NUMBER: 0001298834-10-000005 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20101214 FILED AS OF DATE: 20101214 DATE AS OF CHANGE: 20101214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Richard A CENTRAL INDEX KEY: 0001298834 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35004 FILM NUMBER: 101251714 MAIL ADDRESS: STREET 1: C/O MARK D. BALK, GOULSTON & STORRS, PC STREET 2: 400 ATLANTIC AVENUE CITY: BOSTON STATE: MA ZIP: 02110 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0203 3 2010-12-14 0 0001175454 FLEETCOR TECHNOLOGIES INC FLT 0001298834 Smith Richard A C/O MARK D. BALK, GOULSTON & STORRS, PC 400 ATLANTIC AVENUE BOSTON MA 02110 0 0 1 0 Common Stock 9353417 I By Chestnut Hill Ventures LLC Common Stock 625000 I By Trust UWO Philip Smith FBO Richard A. Smith The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose. 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. David L. Coombs, as Attorney-in-Fact 2010-12-14 EX-24 2 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. /s/ Richard A. Smith Richard A. Smith 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 Richard A. Smith, 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. /s/ Jessica M. Baldino Notary Public My Commission Expires: July 15, 2016 -----END PRIVACY-ENHANCED MESSAGE-----