0001415889-22-009178.txt : 20220830
0001415889-22-009178.hdr.sgml : 20220830
20220830172007
ACCESSION NUMBER: 0001415889-22-009178
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220829
FILED AS OF DATE: 20220830
DATE AS OF CHANGE: 20220830
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: 221215420
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: 0401
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
form4-08302022_020855.xml
X0306
4
2022-08-29
1
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
2022-08-29
4
D
0
1265
0
D
4859
D
Such shares underlying restricted stock units were granted under the Company's 2020 Equity Incentive Plan on May 12, 2022 and were subject to vesting on the first anniversary of the date of grant. Mr. Bettinelli has served on the Company's Board of Directors since 2012 and did not stand for re-election at this year's Annual Meeting, which occurred on August 29, 2022. Accordingly, such restricted stock units have been forfeited.
Amount of securities beneficially owned consists of the number of shares of common stock held by the reporting person as of August 29, 2022.
/s/ Greg Bettinelli
2022-08-30