0001179110-21-008456.txt : 20210827 0001179110-21-008456.hdr.sgml : 20210827 20210827170647 ACCESSION NUMBER: 0001179110-21-008456 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210827 FILED AS OF DATE: 20210827 DATE AS OF CHANGE: 20210827 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: 211219995 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 edgar.xml FORM 4 - X0306 4 2021-08-27 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 EVP, COO & CFO Common Stock 2021-08-27 4 M 0 3005 23.57 A 32318 D Common Stock 2021-08-27 4 M 0 4079 23.92 A 36397 D Common Stock 2021-08-27 4 S 0 7084 89.00 D 29313 D Common Stock 17932 D Options 23.57 2021-08-27 4 M 0 3005 0 D 2030-08-09 Common Stock 3005 9015 D Options 23.92 2021-08-27 4 M 0 4079 0 D 2026-05-24 Common Stock 4079 7166 D Options 6.15 2025-06-05 Common Stock 13498 13498 D Options 7.11 2024-05-20 Common Stock 11000 11000 D Options 20.94 2030-05-21 Common Stock 12506 12506 D Options 24.08 2030-05-21 Common Stock 10010 10010 D Options 28.63 2029-05-20 Common Stock 6214 6214 D Consists of the number of shares of common stock held by the reporting person as of August 27, 2021, 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 August 27, 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 four-year period in equal annual installments on each anniversary of the grant date. 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/ Gregory V. Hackman 2021-08-27