0001104659-21-122508.txt : 20211004 0001104659-21-122508.hdr.sgml : 20211004 20211004161102 ACCESSION NUMBER: 0001104659-21-122508 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Diaz Fred M CENTRAL INDEX KEY: 0001712371 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37760 FILM NUMBER: 211302825 MAIL ADDRESS: STREET 1: 9614 AMALFI CT CITY: BRENTWOOD STATE: TN ZIP: 37027 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 tm2129195-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-09-30 0 0001650729 SiteOne Landscape Supply, Inc. SITE 0001712371 Diaz Fred M MANSELL OVERLOOK 300 COLONIAL CENTER PARKWAY, SUITE 600 ROSWELL GA 30076 1 0 0 0 Common Shares 2021-09-30 4 A 0 122 0 A 9408 D Represents deferred stock units granted as director fees. The deferred stock units are fully vested on grant, but settlement is deferred until the earlier of Mr. Diaz's termination of board service and a change in control of the Issuer. Includes deferred share units. /s/ Briley Brisendine, Attorney-in-fact for Fred M. Diaz 2021-10-04