0001179110-17-008715.txt : 20170607
0001179110-17-008715.hdr.sgml : 20170607
20170607183157
ACCESSION NUMBER: 0001179110-17-008715
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170605
FILED AS OF DATE: 20170607
DATE AS OF CHANGE: 20170607
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: 0331
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BETTINELLI GREG
CENTRAL INDEX KEY: 0001583198
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36711
FILM NUMBER: 17898302
MAIL ADDRESS:
STREET 1: 4151 EAST 96TH STREET
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46240
4
1
edgar.xml
FORM 4 -
X0306
4
2017-06-05
0
0001610250
Boot Barn Holdings, Inc.
BOOT
0001583198
BETTINELLI GREG
C/O BOOT BARN HOLDINGS, INC.
15345 BARRANCA PKWY
IRVINE
CA
92618
1
0
0
0
Common Stock
2017-06-05
4
A
0
4726
0.00
A
13815
D
Consists of shares underlying restricted stock units granted under the Company's 2014 Equity Incentive Plan, subject to vesting on the first anniversary of the date of grant.
/s/ Greg Bettinelli
2017-06-07