0001104659-21-133056.txt : 20211102
0001104659-21-133056.hdr.sgml : 20211102
20211102163250
ACCESSION NUMBER: 0001104659-21-133056
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211101
FILED AS OF DATE: 20211102
DATE AS OF CHANGE: 20211102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Watkins James M
CENTRAL INDEX KEY: 0001562356
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36711
FILM NUMBER: 211371882
MAIL ADDRESS:
STREET 1: 4000 MACARTHUR BLVD., EAST TOWER
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Boot Barn Holdings, Inc.
CENTRAL INDEX KEY: 0001610250
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661]
IRS NUMBER: 900776290
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0326
BUSINESS ADDRESS:
STREET 1: 15345 BARRANCA PARKWAY
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-453-4400
MAIL ADDRESS:
STREET 1: 15345 BARRANCA PARKWAY
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
tm2131623-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-11-01
0
0001610250
Boot Barn Holdings, Inc.
BOOT
0001562356
Watkins James M
C/O BOOT BARN HOLDINGS, INC.
15345 BARRANCA PKWY
IRVINE
CA
92618
0
1
0
0
CFO and Secretary
Common Stock
2021-11-01
4
A
0
1387
0
A
10676
D
Consists of shares underlying restricted stock units granted under the Company's 2020 Equity Incentive Plan, subject to vesting over a four-year period in equal annual installments on each anniversary of the grant date.
Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of November 1, 2021 that remain subject to vesting conditions.
/s/ James M. Watkins
2021-11-02