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