0001104659-15-079290.txt : 20151116 0001104659-15-079290.hdr.sgml : 20151116 20151116161536 ACCESSION NUMBER: 0001104659-15-079290 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151113 FILED AS OF DATE: 20151116 DATE AS OF CHANGE: 20151116 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: 15776 LAGUNA CANYON ROAD CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-453-4400 MAIL ADDRESS: STREET 1: 15776 LAGUNA CANYON ROAD CITY: IRVINE STATE: CA ZIP: 92618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hackman Gregory V. CENTRAL INDEX KEY: 0001633114 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36711 FILM NUMBER: 151234659 MAIL ADDRESS: STREET 1: 15776 LAGUNA CANYON ROAD CITY: IRVINE STATE: CA ZIP: 92618 4 1 a4.xml 4 X0306 4 2015-11-13 0 0001610250 Boot Barn Holdings, Inc. BOOT 0001633114 Hackman Gregory V. C/O BOOT BARN HOLDINGS, INC. 15776 LAGUNA CANYON ROAD IRVINE CA 92618 0 1 0 0 Chief Financial Officer Common Stock 2015-11-13 4 P 0 7000 10.5620 A 10867 D Common Stock 2015-11-13 4 P 0 2000 10.6357 A 12867 D /s/ Gregory V. Hackman 2015-11-16