0001179110-19-006771.txt : 20190529 0001179110-19-006771.hdr.sgml : 20190529 20190529162523 ACCESSION NUMBER: 0001179110-19-006771 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190524 FILED AS OF DATE: 20190529 DATE AS OF CHANGE: 20190529 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: 19862318 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 2019-05-24 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 2019-05-24 4 F 0 217 30.10 D 1541 D Common Stock 10395 D On May 24, 2019, in connection with the vesting of shares underlying 627 previously disclosed restricted stock units, the issuer withheld 217 shares of common stock to satisfy withholding taxes due in connection with such vesting. Such shares had a market value of $30.10 per share, the closing price of the common stock on the vesting date. Amount of securities beneficially owned consists of the number of shares of common stock held by the reporting person as of May 24, 2019, including the shares awarded in connection with such vesting, but excluding any shares of common stock subject to further vesting conditions. See Note 2 below. Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of May 24, 2019 that remain subject to time-based vesting. /s/ Laurie Marie Grijalva 2019-05-29