-----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, HWI1/G5/LEs1B7lrRTNGdTHlm0qVj1kbmlbpjP6cHdFai32yHb3OhyQLE1ymHWJv 70kN+Vs/jblFWNkLZe1FYQ== 0001298834-10-000006.txt : 20101216 0001298834-10-000006.hdr.sgml : 20101216 20101216091512 ACCESSION NUMBER: 0001298834-10-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101214 FILED AS OF DATE: 20101216 DATE AS OF CHANGE: 20101216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Richard A CENTRAL INDEX KEY: 0001298834 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35004 FILM NUMBER: 101255124 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 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 2010-12-14 4 S 0 500000 21.5625 D 8853417 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. This amount represents the $23.00 public offering price per share of common stock of the issuer less the underwriting discount of $1.4375 per share. 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 2010-12-16 -----END PRIVACY-ENHANCED MESSAGE-----