FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
BlueLinx Holdings Inc. [ BXC ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 01/02/2021 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 10/26/2020 | G | 5,000(1) | D | $0 | 0 | D | ||||||||
Common Stock | 10/26/2020 | G | 5,000(1) | A | $0 | 5,000 | I | By DiNapoli Family Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Restricted Stock Units | (2) | 10/26/2020 | G | 12,000(3) | (4) | (4) | Common Stock | 12,000 | $0 | 0 | D | |||
Restricted Stock Units | (2) | 10/26/2020 | G | 12,000(3) | (4) | (4) | Common Stock | 12,000 | $0 | 12,000 | I | By DiNapoli Family Trust | ||
Restricted Stock Units | (2) | 10/26/2020 | G | 5,335(3) | (5) | (5) | Common Stock | 5,335 | $0 | 0 | D | |||
Restricted Stock Units | (2) | 10/26/2020 | G | 5,335(3) | (5) | (5) | Common Stock | 5,335 | $0 | 5,335 | I | By DiNapoli Family Trust | ||
Restricted Stock Units | (2) | 10/26/2020 | G | 8,498(3) | (6) | (6) | Common Stock | 8,498 | $0 | 0 | D | |||
Restricted Stock Units | (2) | 10/26/2020 | G | 8,498(3) | (6) | (6) | Common Stock | 8,498 | $0 | 8,498 | I | By DiNapoli Family Trust | ||
Restricted Stock Units | (2) | 10/26/2020 | G | 12,517(3) | (7) | (7) | Common Stock | 12,517 | $0 | 0 | D | |||
Restricted Stock Units | (2) | 10/26/2020 | G | 12,517(3) | (7) | (7) | Common Stock | 12,517 | $0 | 12,517 | I | By DiNapoli Family Trust | ||
Restricted Stock Units | (2) | 10/26/2020 | G | 13,235(3) | (8) | (8) | Common Stock | 13,235 | $0 | 0 | D | |||
Restricted Stock Units | (2) | 10/26/2020 | G | 13,235(3) | (8) | (8) | Common Stock | 13,235 | $0 | 13,235 | I | By DiNapoli Family Trust |
Explanation of Responses: |
1. On October 26, 2020, the reporting person transferred 5,000 shares of BXC common stock to a family trust of which the reporting person's spouse is trustee. |
2. Each restricted stock unit represents a contingent right to receive one share of BlueLinx Holdings Inc. common stock. |
3. On October 26, 2020, the reporting person transferred all outstanding restricted stock units held by the reporting person to a family trust of which the reporting person's spouse is the trustee. |
4. The restricted stock units vest on May 21, 2021. Vested shares will be delivered to the reporting person within 30 days after the earlier of May 21, 2030 or termination of reporting person's service on the Board of Directors. |
5. The restricted stock units vested on May 17, 2020. Vested shares will be delivered to the reporting person within 30 days after the earlier of May 17, 2029 or termination of reporting person's service on the Board of Directors. |
6. The restricted stock units vested on January 11, 2019. Vested shares will be delivered to the reporting person within 30 days after the earlier of January 11, 2028 or termination of reporting person's service on the Board of Directors. |
7. The restricted stock units vested on January 11, 2018. Vested shares will be delivered to the reporting person within 30 days after the earlier of January 11, 2027 or termination of reporting person's service on the Board of Directors. |
8. The restricted stock units vested on May 20, 2017. Vested shares will be delivered to the reporting person within 30 days after the earlier of May 20, 2026 or termination of reporting person's service on the Board of Directors. |
Remarks: |
/s/ Shyam K. Reddy, as attorney-in-fact for Dominic DiNapoli | 02/11/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |