0001104659-21-140159.txt : 20211116
0001104659-21-140159.hdr.sgml : 20211116
20211116195532
ACCESSION NUMBER: 0001104659-21-140159
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211112
FILED AS OF DATE: 20211116
DATE AS OF CHANGE: 20211116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Grijalva Laurie Marie
CENTRAL INDEX KEY: 0001623311
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36711
FILM NUMBER: 211417967
MAIL ADDRESS:
STREET 1: 15776 LAGUNA CANYON ROAD
CITY: IRVINE
STATE: CA
ZIP: 92618
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
tm2133085-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-11-12
0
0001610250
Boot Barn Holdings, Inc.
BOOT
0001623311
Grijalva Laurie Marie
C/O BOOT BARN HOLDINGS, INC.
15345 BARRANCA PKWY
IRVINE
CA
92618
0
1
0
0
Chief Merchandise Officer
Common Stock
2021-11-12
4
M
0
13498
6.15
A
19235
D
Common Stock
2021-11-12
4
S
0
13498
119.3311
D
5737
D
Common Stock
12526
D
Options
6.15
2021-11-12
4
M
0
13498
0
D
2025-06-05
Common Stock
13498
6749
D
Reflects the weighted average price of sales on November 12, 2021. The shares were sold in multiple transactions at prices ranging from $119.0000 to $119.7900, inclusive. The reporting person undertakes to provide to Boot Barn Holdings, Inc., any security holder of Boot Barn Holdings, Inc., or the staff of the Securities Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within such range.
Consists of the number of shares of common stock held by the reporting person as of November 16, 2021 that are not subject to further vesting.
Consists of the number of shares of common stock underlying restricted stock units held by the reporting person as of November 16, 2021 that remain subject to time-based vesting.
The Options were granted under the Company's 2014 Equity Incentive Plan and are subject to vesting over a five-year period in equal annual installments on each anniversary of the grant date.
/s/ Laurie Marie Grijalva
2021-11-16