0001104659-23-011309.txt : 20230206 0001104659-23-011309.hdr.sgml : 20230206 20230206180715 ACCESSION NUMBER: 0001104659-23-011309 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230206 DATE AS OF CHANGE: 20230206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Mitchell B CENTRAL INDEX KEY: 0001597766 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32383 FILM NUMBER: 23591937 MAIL ADDRESS: STREET 1: 4300 WILDWOOD PARKWAY CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BlueLinx Holdings Inc. CENTRAL INDEX KEY: 0001301787 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER, PLYWOOD, MILLWORK & WOOD PANELS [5031] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 1950 SPECTRUM CIRCLE CITY: MARIETTA STATE: GA ZIP: 30067 BUSINESS PHONE: 770-953-7000 MAIL ADDRESS: STREET 1: 1950 SPECTRUM CIRCLE CITY: MARIETTA STATE: GA ZIP: 30067 5 1 tm235599-1_5.xml FORM 5 X0306 5 2022-12-31 0 0 0 0001301787 BlueLinx Holdings Inc. BXC 0001597766 Lewis Mitchell B 1950 SPECTRUM CIRCLE MARIETTA GA 30067 1 0 0 0 Common Stock 2022-10-27 5 G 0 16090 0 D 43484 I By grantor retained annuity trust Common Stock 2022-10-27 5 G 0 16090 0 A 69764 D On October 27, 2022, 16,090 shares were transferred from the Reporting Person's grantor retained annuity trust ("GRAT") to the Reporting Person in accordance with the terms of the GRAT. /s/ Shyam K. Reddy, as attorney-in-fact for Mitchell B. Lewis 2023-02-06