0001415889-22-005072.txt : 20220516
0001415889-22-005072.hdr.sgml : 20220516
20220516202153
ACCESSION NUMBER: 0001415889-22-005072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220512
FILED AS OF DATE: 20220516
DATE AS OF CHANGE: 20220516
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: 22931874
MAIL ADDRESS:
STREET 1: 4151 EAST 96TH STREET
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46240
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
form4-05162022_050543.xml
X0306
4
2022-05-12
0001610250
Boot Barn Holdings, Inc.
BOOT
0001583198
BETTINELLI GREG
C/O BOOT BARN HOLDINGS, INC.
15345 BARRANCA PKWY
IRVINE
CA
92618
true
false
false
false
Common Stock
2022-05-12
4
A
0
1265
0
A
2542
D
Common Stock
3582
D
Consists of shares underlying restricted stock units granted under the Company's 2020 Equity Incentive Plan, subject to vesting on the first anniversary of the date of grant.
Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of May 12, 2022 that remain subject to time-based vesting.
Amount of securities beneficially owned consists of the number of shares of common stock held by the reporting person as of May 12, 2022, excluding any shares of common stock subject to further vesting conditions.
/s/ Greg Bettinelli
2022-05-16