0001209191-16-123265.txt : 20160525
0001209191-16-123265.hdr.sgml : 20160525
20160525170226
ACCESSION NUMBER: 0001209191-16-123265
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160525
FILED AS OF DATE: 20160525
DATE AS OF CHANGE: 20160525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CDR USF CO-INVESTOR LP
CENTRAL INDEX KEY: 0001405973
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675308
BUSINESS ADDRESS:
STREET 1: C/O CLAYTON, DUBILIER & RICE
STREET 2: 375 PARK AVENUE, 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10152
BUSINESS PHONE: 212-407-5200
MAIL ADDRESS:
STREET 1: C/O CLAYTON, DUBILIER & RICE
STREET 2: 375 PARK AVENUE, 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10152
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CDR USF Co-Investor GP Ltd
CENTRAL INDEX KEY: 0001675410
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675309
BUSINESS ADDRESS:
STREET 1: P.O. BOX 309 GT, UGLAND HOUSE
STREET 2: SOUTH CHURCH STREET
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 212-407-5200
MAIL ADDRESS:
STREET 1: C/O CLAYTON DUBILIER & RICE, LLC
STREET 2: 375 PARK AVENUE, 18TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10152
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R ASSOCIATES VII (CO-INVESTMENT), LTD
CENTRAL INDEX KEY: 0001579761
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675312
BUSINESS ADDRESS:
STREET 1: C/O MAPLES CORPORATE SERVICES LIMITED
STREET 2: PO BOX 309, UGLAND HOUSE
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 212-407-5200
MAIL ADDRESS:
STREET 1: C/O MAPLES CORPORATE SERVICES LIMITED
STREET 2: PO BOX 309, UGLAND HOUSE
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY1-1104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CLAYTON DUBILIER & RICE FUND VII CO-INVESTMENT L P
CENTRAL INDEX KEY: 0001386693
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675313
BUSINESS ADDRESS:
STREET 1: P O BOX 309, UGLAND HOUSE
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 212-407-5200
MAIL ADDRESS:
STREET 1: P O BOX 309, UGLAND HOUSE
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY1-1104
FORMER NAME:
FORMER CONFORMED NAME: CLAYTON DUBILIER & RICS FUND VII CO-INVESTMENT L P
DATE OF NAME CHANGE: 20070116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Investment Associates VII, Ltd.
CENTRAL INDEX KEY: 0001380524
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675314
BUSINESS ADDRESS:
STREET 1: P.O. BOX 309GT, UGLAND HOUSE
STREET 2: SOUTH CHURCH STREET
CITY: GEORGE TOWN
STATE: E9
ZIP: E9 BWI
BUSINESS PHONE: 302-477-1679
MAIL ADDRESS:
STREET 1: P.O. BOX 309GT, UGLAND HOUSE
STREET 2: SOUTH CHURCH STREET
CITY: GEORGE TOWN
STATE: E9
ZIP: E9 BWI
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clayton Dubilier & Rice Fund VII L P
CENTRAL INDEX KEY: 0001313676
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675317
BUSINESS ADDRESS:
STREET 1: 113 SOUTH CHURCH ST
STREET 2: GA TOWN
CITY: GRAND CAY CAY ISL
STATE: E9
ZIP: 00000
BUSINESS PHONE: 345-949-8066
MAIL ADDRESS:
STREET 1: 113 SOUTH CHURCH ST
STREET 2: GA TOWN
CITY: GRAND CAY CAY ISL
STATE: E9
ZIP: 00000
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: US Foods Holding Corp.
CENTRAL INDEX KEY: 0001665918
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140]
IRS NUMBER: 260347906
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0102
BUSINESS ADDRESS:
STREET 1: 9399 W. HIGGINS RD.
STREET 2: SUITE 500
CITY: ROSEMONT
STATE: IL
ZIP: 60018
BUSINESS PHONE: 8477208000
MAIL ADDRESS:
STREET 1: 9399 W. HIGGINS RD.
STREET 2: SUITE 500
CITY: ROSEMONT
STATE: IL
ZIP: 60018
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Parallel Fund Associates VII, Ltd.
CENTRAL INDEX KEY: 0001380523
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675310
BUSINESS ADDRESS:
STREET 1: 1403 FOULK ROAD, SUITE 106
CITY: WILMINGTON
STATE: DE
ZIP: 19803
BUSINESS PHONE: 302-477-1679
MAIL ADDRESS:
STREET 1: 1403 FOULK ROAD, SUITE 106
CITY: WILMINGTON
STATE: DE
ZIP: 19803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Associates VII, L.P.
CENTRAL INDEX KEY: 0001380525
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675315
BUSINESS ADDRESS:
STREET 1: 1403 FOULK ROAD, SUITE 106
CITY: WILMINGTON
STATE: DE
ZIP: 19803
BUSINESS PHONE: 302-477-1679
MAIL ADDRESS:
STREET 1: 1403 FOULK ROAD, SUITE 106
CITY: WILMINGTON
STATE: DE
ZIP: 19803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Parallel Fund VII LP
CENTRAL INDEX KEY: 0001344557
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675311
BUSINESS ADDRESS:
STREET 1: 113 SOUTH CHARLES ST
CITY: CAYMAN ISLANDS
STATE: A1
ZIP: 00000
MAIL ADDRESS:
STREET 1: 113 SOUTH CHARLES ST
CITY: CAYMAN ISLANDS
STATE: A1
ZIP: 00000
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Associates VII, Ltd.
CENTRAL INDEX KEY: 0001380526
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675316
BUSINESS ADDRESS:
STREET 1: 1403 FOULK ROAD, SUITE 106
CITY: WILMINGTON
STATE: DE
ZIP: 19803
BUSINESS PHONE: 302-477-1679
MAIL ADDRESS:
STREET 1: 1403 FOULK ROAD, SUITE 106
CITY: WILMINGTON
STATE: DE
ZIP: 19803
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-05-25
0
0001665918
US Foods Holding Corp.
USFD
0001313676
Clayton Dubilier & Rice Fund VII L P
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001380526
CD&R Associates VII, Ltd.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001380525
CD&R Associates VII, L.P.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001380524
CD&R Investment Associates VII, Ltd.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001386693
CLAYTON DUBILIER & RICE FUND VII CO-INVESTMENT L P
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001579761
CD&R ASSOCIATES VII (CO-INVESTMENT), LTD
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001344557
CD&R Parallel Fund VII LP
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001380523
CD&R Parallel Fund Associates VII, Ltd.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001675410
CDR USF Co-Investor GP Ltd
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001405973
CDR USF CO-INVESTOR LP
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
Common Stock
83333332
I
See Notes
Represents shares held as follows: (i) 44,444,444 shares of common stock held by Clayton, Dubilier & Rice Fund VII, L.P., whose general partner is CD&R Associates VII, Ltd., whose sole stockholder is CD&R Associates VII, L.P., whose general partner is CD&R Investment Associates VII, Ltd.; (ii) 12,962,963 shares of common stock held by Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., whose general partner is CD&R Associates VII (Co-Investment), Ltd., whose sole stockholder is CD&R Associates VII, L.P.; (iii) 316,450 shares of common stock held by CD&R Parallel Fund VII, L.P., whose general partner is CD&R Parallel Fund Associates VII, Ltd.; (continued at footnote 2)
(iv) 18,202,068 shares of common stock held by CDR USF Co-Investor L.P., whose general partner is CDR USF Co-Investor GP Limited, whose sole stockholder is Clayton, Dubilier & Rice Fund VII, L.P.; and (v) 7,407,407 shares of common stock held by CDR USF Co-Investor No. 2, L.P., whose general partner is CDR USF Co-Investor GP No. 2, Limited, whose sole stockholder is CD&R Associates VII, L.P.
Each of CD&R Associates VII, Ltd., CD&R Associates VII, L.P. and CD&R Investment Associates VII, Ltd. expressly disclaims beneficial ownership of the shares held by Clayton, Dubilier & Rice Fund VII, L.P., as well as the shares held by each of Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., CD&R Parallel Fund VII, L.P., CDR USF Co-Investor L.P. and CDR USF Co-Investor No. 2, L.P. Each of CDR USF Co-Investor GP Limited and CDR USF Co-Investor GP No. 2, Limited expressly disclaims beneficial ownership of the shares held by each of CDR USF Co-Investor Limited, CDR USF Co-Investor No. 2, Limited, (continued at footnote 4)
Clayton, Dubilier & Rice Fund VII, L.P., Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P. and CD&R Parallel Fund VII, L.P. CD&R Parallel Fund Associates VII, Ltd. expressly disclaims beneficial ownership of the shares held by each of CD&R Parallel Fund VII, L.P., Clayton, Dubilier & Rice Fund VII, L.P., Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., CDR USF Co-Investor L.P. and CDR USF Co-Investor No. 2, L.P.
Because an electronically filed joint filing is limited to a maximum of ten reporting persons, this Form 3 is one of two filed today reporting on the same securities by the following joint filers: Clayton, Dubilier & Rice Fund VII, L.P.; CD&R Associates VII, Ltd.; CD&R Associates VII, L.P.; CD&R Investment Associates VII, Ltd.; Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P.; CD&R Associates VII (Co-Investment), Ltd.; CD&R Parallel Fund VII, L.P.; CD&R Parallel Fund Associates VII, Ltd.; CDR USF Co-Investor L.P.; CDR USF Co-Investor GP Limited; CDR USF Co-Investor No. 2, L.P.; and CDR USF Co-Investor GP No. 2, Limited.
Clayton, Dubilier & Rice Fund VII, L.P., By: CD&R Associates VII, Ltd., its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CD&R Associates VII, Ltd., By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CD&R Associates VII, L.P., By: CD&R Investment Associates VII, Ltd., its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CD&R Investment Associates VII, Ltd., By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., By: CD&R Associates VII (Co-Investment), Ltd., its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CD&R Associates VII (Co-Investment), Ltd., By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CD&R Parallel Fund VII, L.P., By: CD&R Parallel Fund Associates VII, Ltd., its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CD&R Parallel Fund Associates VII, Ltd., By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CDR USF Co-Investor GP Limited, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CDR USF Co-Investor L.P., By: CDR USF Co-Investor GP Limited, its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25