0001209191-12-039034.txt : 20120725
0001209191-12-039034.hdr.sgml : 20120725
20120725162759
ACCESSION NUMBER: 0001209191-12-039034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120724
FILED AS OF DATE: 20120725
DATE AS OF CHANGE: 20120725
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIVE BELOW, INC
CENTRAL INDEX KEY: 0001177609
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331]
IRS NUMBER: 000000000
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1818 MARKET STREET
STREET 2: SUITE 1900
CITY: PHILADELPHIA
STATE: PA
ZIP: 19103
BUSINESS PHONE: 215 546 7909
MAIL ADDRESS:
STREET 1: 1818 MARKET STREET
STREET 2: SUITE 1900
CITY: PHILADELPHIA
STATE: PA
ZIP: 19103
FORMER COMPANY:
FORMER CONFORMED NAME: FIVE BELOW INC
DATE OF NAME CHANGE: 20030305
FORMER COMPANY:
FORMER CONFORMED NAME: CHEAP HOLDINGS INC
DATE OF NAME CHANGE: 20020717
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ADVENT INTERNATIONAL LLC
CENTRAL INDEX KEY: 0001227759
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35600
FILM NUMBER: 12979160
BUSINESS ADDRESS:
STREET 1: 75 STATE STREET
CITY: BOSTON
STATE: MA
ZIP: 02109
BUSINESS PHONE: 6179519400
MAIL ADDRESS:
STREET 1: C/O ADVENT INTERNATIONAL CORPORATION
STREET 2: 75 STATE STREET, 29TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02109
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-07-24
0
0001177609
FIVE BELOW, INC
FIVE
0001227759
ADVENT INTERNATIONAL LLC
C/O ADVENT INTERNATIONAL CORPORATION
75 STATE STREET, 29TH FLOOR
BOSTON
MA
02109
0
0
0
1
Member of group >10%
Common Stock
2012-07-24
4
C
0
30719779
A
30719779
I
See Footnotes
Common Stock
2012-07-24
4
S
0
3873793
15.81
D
26845986
I
See Footnotes
Series A 8% Convertible Preferred Stock
2012-07-24
4
C
0
88785489
0.00
D
Common Stock
30719779
0
I
See Footnotes
The Series A 8% Convertible Preferred Stock is convertible into Five Below, Inc. common stock on a 1-for-0.346 basis and has no expiration date.
These securities are indirectly beneficially owned in the following capacities: as General Partner of GPE VI GP Limited Partnership, GPE VI GP (Delaware) Limited Partnership, Advent Partners GPE VI 2008 Limited Partnership, Advent Partners GPE VI 2009 Limited Partnership, Advent Partners GPE VI 2010 Limited Partnership, Advent Partners GPE VI-A 2010 Limited Partnership and Advent Partners GPE VI-A Limited Partnership. GPE VI GP Limited Partnership is the General Partner of Advent International GPE VI Limited Partnership, Advent International GPE VI-A Limited Partnership, Advent International GPE VI-B Limited Partnership, Advent International GPE VI-F Limited Partnership and Advent International GPE VI-G Limited Partnership. GPE VI GP (Delaware) Limited Partnership is the General Partner of Advent International GPE VI-C Limited Partnership,
shareholders of Advent - Five Below Acquisition Limited Partnership, which is the direct owner of these securities.
Jarlyth H. Gibson, Compliance Officer
2012-07-24