0001179110-21-005534.txt : 20210518
0001179110-21-005534.hdr.sgml : 20210518
20210518184359
ACCESSION NUMBER: 0001179110-21-005534
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210514
FILED AS OF DATE: 20210518
DATE AS OF CHANGE: 20210518
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: 21937767
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: 0327
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
edgar.xml
FORM 4 -
X0306
4
2021-05-14
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
2021-05-14
4
A
0
1277
0
A
4859
D
Common Stock
6526
D
Consists of shares underlying restricted stock units granted under the Company's 2020 Equity Incentive Plan, subject to vesting on the first anniversary of the date of grant.
Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of May 14, 2021 that remain subject to time-based vesting.
Amount of securities beneficially owned consists of the number of shares of common stock held by the reporting person as of May 14, 2021. Amount includes 2,620 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 conditions.
/s/ Anne MacDonald
2021-05-18