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