0001104659-21-063087.txt : 20210507 0001104659-21-063087.hdr.sgml : 20210507 20210507161151 ACCESSION NUMBER: 0001104659-21-063087 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210507 FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 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: 21902761 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: 0102 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 tm2115592-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-05-07 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 2021-05-07 5 G 0 E 10000 0.00 D 357518 D Charitable gift. /s/ Briley Brisendine, Attorney-in-fact for Doug Black 2021-05-07