0001104659-21-016661.txt : 20210209 0001104659-21-016661.hdr.sgml : 20210209 20210209160749 ACCESSION NUMBER: 0001104659-21-016661 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210205 FILED AS OF DATE: 20210209 DATE AS OF CHANGE: 20210209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLACK DOUG CENTRAL INDEX KEY: 0001672083 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37760 FILM NUMBER: 21606429 MAIL ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SiteOne Landscape Supply, Inc. CENTRAL INDEX KEY: 0001650729 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PROFESSIONAL & COMMERCIAL EQUIPMENT & SUPPLIES [5040] IRS NUMBER: 364485550 STATE OF INCORPORATION: DE FISCAL YEAR END: 0103 BUSINESS ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 BUSINESS PHONE: (470) 277-7000 MAIL ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 4 1 tm215948-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-02-05 0 0001650729 SiteOne Landscape Supply, Inc. SITE 0001672083 BLACK DOUG MANSELL OVERLOOK 300 COLONIAL CENTER PARKWAY, SUITE 600 ROSWELL GA 30076 1 1 0 0 CEO Common Stock 2021-02-05 4 M 0 1660 A 353725 D Common Stock 2021-02-05 4 F 0 743 167.41 D 352982 D Common Stock 2021-02-06 4 M 0 2787 A 355769 D Common Stock 2021-02-06 4 F 0 1247 167.41 D 354522 D Restricted Stock Units 2021-02-05 4 M 0 1660 0.00 D Common Stock 1660 4981 D Restricted Stock Units 2021-02-06 4 M 0 2787 0.00 D Common Stock 2787 5571 D Filed to report vesting of Restricted Stock Units ("RSUs"). RSUs convert into common stock on a one-for-one basis. On February 5, 2020, the Reporting Person was granted 6,641 restricted stock units, vesting in four equal annual installments beginning on February 5, 2021, subject to the Reporting Person's continued employment. On February 6, 2019, the Reporting Person was granted 11,145 restricted stock units, vesting in four equal annual installments beginning on February 6, 2020, subject to the Reporting Person's continued employment. /s/ Briley Brisendine, Attorney-in-fact for Doug Black 2021-02-09