0001577095-13-000013.txt : 20131024 0001577095-13-000013.hdr.sgml : 20131024 20131024152456 ACCESSION NUMBER: 0001577095-13-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131023 FILED AS OF DATE: 20131024 DATE AS OF CHANGE: 20131024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ClubCorp Holdings, Inc. CENTRAL INDEX KEY: 0001577095 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP SPORTS & RECREATION CLUBS [7997] IRS NUMBER: 205818205 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3030 LBJ FREEWAY, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75234 BUSINESS PHONE: 972-406-4112 MAIL ADDRESS: STREET 1: 3030 LBJ FREEWAY, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75234 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fillmore CCA Holdings I, LLC CENTRAL INDEX KEY: 0001586520 STATE OF INCORPORATION: DE FISCAL YEAR END: 1213 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168021 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KSL CCA Co-Invest 2 LP CENTRAL INDEX KEY: 0001385643 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168022 BUSINESS ADDRESS: STREET 1: 100 FILMORE ST STE 600 CITY: DENVER STATE: CO ZIP: 80206 MAIL ADDRESS: STREET 1: 100 FILMORE ST STE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KSL CCA 2010 Co-Invest, L.P. CENTRAL INDEX KEY: 0001506076 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168023 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET, SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET, SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fillmore CCA TE-A (Alternative), L.P. CENTRAL INDEX KEY: 0001586525 STATE OF INCORPORATION: DE FISCAL YEAR END: 1213 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168027 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fillmore CCA TE (Alternative), L.P. CENTRAL INDEX KEY: 0001586486 STATE OF INCORPORATION: DE FISCAL YEAR END: 1213 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168028 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KSL CCA 2010 Co-Invest 2, L.P. CENTRAL INDEX KEY: 0001506077 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168024 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET, SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET, SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KSL CAPITAL PARTNERS SUPPLEMENTAL II LP CENTRAL INDEX KEY: 0001436122 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168025 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6420 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fillmore CCA (Alternative), L.P. CENTRAL INDEX KEY: 0001586501 STATE OF INCORPORATION: DE FISCAL YEAR END: 1213 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168030 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KSL CAPITAL PARTNERS II FF LP CENTRAL INDEX KEY: 0001346813 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168026 BUSINESS ADDRESS: STREET 1: 50-905 AVENIDA BERMUDAS CITY: LA QUINTA STATE: CA ZIP: 92253 BUSINESS PHONE: 7605648039 MAIL ADDRESS: STREET 1: 50-905 AVENIDA BERMUDAS CITY: LA QUINTA STATE: CA ZIP: 92253 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fillmore CCA Supplemental TE (Alternative), L.P. CENTRAL INDEX KEY: 0001586528 STATE OF INCORPORATION: DE FISCAL YEAR END: 1213 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131168029 BUSINESS ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 BUSINESS PHONE: 720-284-6400 MAIL ADDRESS: STREET 1: 100 FILLMORE STREET STREET 2: SUITE 600 CITY: DENVER STATE: CO ZIP: 80206 4 1 wf-form4_138264268551558.xml FORM 4 X0306 4 2013-10-23 0 0001577095 ClubCorp Holdings, Inc. MYCC 0001586520 Fillmore CCA Holdings I, LLC 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001586501 Fillmore CCA (Alternative), L.P. 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001586528 Fillmore CCA Supplemental TE (Alternative), L.P. 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001586486 Fillmore CCA TE (Alternative), L.P. 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001586525 Fillmore CCA TE-A (Alternative), L.P. 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001346813 KSL CAPITAL PARTNERS II FF LP 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001436122 KSL CAPITAL PARTNERS SUPPLEMENTAL II LP 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001506077 KSL CCA 2010 Co-Invest 2, L.P. 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001506076 KSL CCA 2010 Co-Invest, L.P. 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 0001385643 KSL CCA Co-Invest 2 LP 100 FILLMORE STREET, SUITE 600 DENVER CO 80206 0 0 1 0 Common Stock 2013-10-23 4 S 0 2699781 13.125 D 40818922 I See Footnotes This amount represents the $14.00 initial public offering price per share of common stock, par value $0.01 per share ("Common Stock") of ClubCorp Holdings, Inc. (the "Issuer"), less the underwriting discount of $0.875 per share of Common Stock. These shares represent shares of Common Stock of the Issuer that are directly held by Fillmore CCA Investment, LLC ("Fillmore"). Fillmore CCA Holdings I, LLC ("Holdings I") holds shares of stock indirectly through Fillmore. The members of Holdings I are Fillmore CCA (Alternative), L.P., Fillmore CCA Supplemental TE (Alternative), L.P., Fillmore CCA TE (Alternative), L.P., Fillmore CCA TE-A (Alternative), L.P., KSL Capital Partners II FF, L.P., KSL Capital Partners Supplemental II, L.P., KSL CCA 2010 Co-Invest 2, L.P., KSL CCA 2010 Co-Invest, L.P., KSL CCA Co-Invest 2, L.P. and KSL CCA Co-Invest, L.P (collectively, the "KSL Investors"). KSL Capital Partners II GP, LLC is the sole general partner of Fillmore CCA (Alternative), L.P., Fillmore CCA TE (Alternative), L.P., Fillmore CCA TE-A (Alternative), L.P. and KSL Capital Partners II FF, L.P. KSL Capital Partners Supplemental II GP, LLC is the sole general partner of Fillmore CCA Supplemental TE (Alternative), L.P. and KSL Capital Partners Supplemental II, L.P. KSL Capital Partners II Co-Invest GP, LLC is the sole general partner of KSL CCA 2010 Co-Invest 2, L.P., KSL CCA 2010 Co-Invest, L.P., KSL CCA Co-Invest 2, L.P. and KSL CCA Co-Invest, L.P. The investment decisions of each of KSL Capital Partners II GP, LLC, KSL Capital Partners Supplemental II GP, LLC and KSL Capital Partners II Co-Invest GP, LLC (collectively, the "KSL General Partners", and together with the KSL Investors, the "KSL Funds") regarding the shares are made by its respective special investment committee. The special investment committee of each of the KSL General Partners consists of Eric C. Resnick, Michael S. Shannon and Steven S. Siegel. Each of such KSL entities and Messrs. Resnick, Shannon and Siegel may be deemed to beneficially own the shares beneficially owned by the KSL Funds directly or indirectly controlled by it or him, but each disclaims beneficial ownership of such shares, except to the extent of such Reporting Person's pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein. Due to the limitations of the Securities and Exchange Commission's EDGAR system, KSL CCA Co-Invest, L.P., KSL Capital Partners II GP, LLC, KSL Capital Partners Supplemental II GP, LLC, KSL Capital Partners II Co-Invest GP, LLC, Steven S. Siegel, Michael S. Shannon and Eric C. Resnick have filed a separate Form 4. /s/ Fillmore CCA Holdings I, LLC, Ingrid Keiser, by power of attorney 2013-10-24