0001104659-21-140161.txt : 20211116
0001104659-21-140161.hdr.sgml : 20211116
20211116195650
ACCESSION NUMBER: 0001104659-21-140161
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211115
FILED AS OF DATE: 20211116
DATE AS OF CHANGE: 20211116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MACDONALD ANNE
CENTRAL INDEX KEY: 0001240498
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36711
FILM NUMBER: 211417969
MAIL ADDRESS:
STREET 1: 200 CARILLON PARKWAY
CITY: ST PETERSBURG
STATE: FL
ZIP: 33716
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Boot Barn Holdings, Inc.
CENTRAL INDEX KEY: 0001610250
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661]
IRS NUMBER: 900776290
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0326
BUSINESS ADDRESS:
STREET 1: 15345 BARRANCA PARKWAY
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-453-4400
MAIL ADDRESS:
STREET 1: 15345 BARRANCA PARKWAY
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
tm2133085-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-11-15
0
0001610250
Boot Barn Holdings, Inc.
BOOT
0001240498
MACDONALD ANNE
C/O BOOT BARN HOLDINGS, INC.
15345 BARRANCA PKWY
IRVINE
CA
92618
1
0
0
0
Common Stock
2021-11-15
4
S
0
300
120.1800
D
9808
D
Common Stock
2021-11-15
4
S
0
675
120.0927
D
9133
D
Common Stock
2021-11-16
4
S
0
975
125.00
D
8158
D
Common Stock
1277
D
Amount of securities beneficially owned consists of the number of shares of common stock held by the reporting person as of November 16, 2021. The amount includes 6,202 shares underlying restricted stock units for which the vesting criteria have been satisfied but the delivery of such shares has been deferred, but excludes any shares of common stock subject to further vesting.
Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of November 16, 2021, that remain subject to time-based vesting.
/s/ Anne MacDonald
2021-11-16