0001179110-19-006496.txt : 20190522
0001179110-19-006496.hdr.sgml : 20190522
20190522173422
ACCESSION NUMBER: 0001179110-19-006496
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190520
FILED AS OF DATE: 20190522
DATE AS OF CHANGE: 20190522
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: 19846948
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: 0330
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
edgar.xml
FORM 4 -
X0306
4
2019-05-20
0
0001610250
Boot Barn Holdings, Inc.
BOOT
0001633114
Hackman Gregory V.
C/O BOOT BARN HOLDINGS, INC.
15345 BARRANCA PKWY
IRVINE
CA
92618
0
1
0
0
Chief Financial Officer
Common Stock
2019-05-20
4
A
0
4599
0
A
10885
D
Common Stock
22326
D
Options
28.63
2019-05-20
4
A
0
12429
0
A
2029-05-19
Common Stock
12429
12429
D
Consists of shares underlying restricted stock units granted under the Company's 2014 Equity Incentive Plan, subject to vesting over a four-year period in equal annual installments on each anniversary of the grant date.
Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of May 20, 2019 that remain subject to time-based vesting.
Consists of the number of shares of common stock held by the reporting person as of May 20, 2019 that are not subject to further vesting conditions.
The Options were granted under the Company's 2014 Equity Incentive Plan and are subject to vesting over a four-year period in equal annual installments on each anniversary of the grant date.
/s/ Gregory V. Hackman
2019-05-22