SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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).
1. Name and Address of Reporting Person*
Fennebresque Kim S

(Last) (First) (Middle)
1950 SPECTRUM CIRCLE

(Street)
MARIETTA GA 30067

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BlueLinx Holdings Inc. [ BXC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/15/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/15/2021 S 4,264 D $50.3205 0 I By grantor trust(1)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (2) (3) (3) Common Stock 3,003 3,003 D
Restricted Stock Units (2) (4) (4) Common Stock 21,334 21,334 I By grantor trust
Restricted Stock Units (2) (5) (5) Common Stock 9,485 9,485 I By grantor trust
Restricted Stock Units (2) (6) (6) Common Stock 15,108 15,108 I By grantor trust
Restricted Stock Units (2) (7) (7) Common Stock 22,253 22,253 I By grantor trust
Restricted Stock Units (2) (8) (8) Common Stock 10,294 10,294 I By grantor trust
Restricted Stock Units (2) (9) (9) Common Stock 14,754 14,754 I By grantor trust
Restricted Stock Units (2) (10) (10) Common Stock 9,090 9,090 I By grantor trust
Explanation of Responses:
1. Shares held by a grantor trust established by the reporting person for estate planning purposes.
2. Each restricted stock unit represents a contingent right to receive one share of BlueLinx Holdings Inc. common stock.
3. The restricted stock units vest on May 20, 2022. Vested shares will be delivered to the grantor trust not later than 30 days after the vesting date.
4. The restricted stock units vested on May 21, 2021. Vested shares will be delivered to the grantor trust 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 grantor trust 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 grantor trust 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 grantor trust 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 grantor trust within 30 days after the earlier of May 20, 2026 or termination of reporting person's service on the Board of Directors.
9. The restricted stock units vested on March 31, 2017. Vested shares will be delivered to the grantor trust within 30 days after the earlier of March 31, 2026 or termination of reporting person's service on the Board of Directors.
10. The restricted stock units vested on January 13, 2016. Vested shares will be delivered to the grantor trust within 30 days after the earlier of January 13, 2025 or termination of reporting person's service on the Board of Directors.
Remarks:
/s/ Shyam K. Reddy, as attorney-in-fact for Kim S. Fennebresque 09/16/2021
** 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.
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