0001209191-12-039039.txt : 20120725 0001209191-12-039039.hdr.sgml : 20120725 20120725163127 ACCESSION NUMBER: 0001209191-12-039039 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 Partners GPE VI-A Limited Partnership CENTRAL INDEX KEY: 0001461159 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35600 FILM NUMBER: 12979189 BUSINESS ADDRESS: STREET 1: 75 STATE STREET CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: (617) 951-9415 MAIL ADDRESS: STREET 1: 75 STATE STREET CITY: BOSTON STATE: MA ZIP: 02109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-07-24 0 0001177609 FIVE BELOW, INC FIVE 0001461159 Advent Partners GPE VI-A Limited Partnership 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 46064 A 46064 I See Footnote Common Stock 2012-07-24 4 S 0 5808 15.81 D 40256 I See Footnote Series A 8% Convertible Preferred Stock 2012-07-24 4 D 0 133134 0.00 D Common Stock 46064 0 I See Footnote 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 as one of the shareholders of Advent - Five Below Acquisition Limited Partnership, which is the direct owner of these securities. Jarlyth H. Gibson, Compliance Officer 2012-07-24