0001181431-12-045165.txt : 20120813 0001181431-12-045165.hdr.sgml : 20120813 20120813155004 ACCESSION NUMBER: 0001181431-12-045165 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120813 FILED AS OF DATE: 20120813 DATE AS OF CHANGE: 20120813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BALSON ANDREW CENTRAL INDEX KEY: 0001212449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35625 FILM NUMBER: 121027577 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomin' Brands, Inc. CENTRAL INDEX KEY: 0001546417 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 208023465 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2202 NORTH WEST SHORE BOULEVARD STREET 2: SUITE 500 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 813-282-1225 MAIL ADDRESS: STREET 1: 2202 NORTH WEST SHORE BOULEVARD STREET 2: SUITE 500 CITY: TAMPA STATE: FL ZIP: 33607 4 1 rrd353106.xml FORM 4 X0306 4 2012-08-13 0 0001546417 Bloomin' Brands, Inc. BLMN 0001212449 BALSON ANDREW C/O BAIN CAPITAL INVESTORS, LLC JOHN HANCOCK TOWER, 200 CLARENDON ST. BOSTON MA 02116 1 0 1 0 Common Stock 2012-08-13 4 S 0 1701282 10.34 D 68373718 I See Footnote These shares were sold in the initial public offering of Bloomin' Brands, Inc. common stock. Mr. Andrew Balson is a Managing Director of Bain Capital Investors, LLC ("BCI"). BCI is the sole general partner of Bain Capital Partners IX, L.P. ("BCP IX"), which is the sole general partner of Bain Capital (OSI) IX, L.P. ("BC OSI IX"). BCI is also the sole general partner of BCP IX, which is also the sole general partner of Bain Capital (OSI) IX Coinvestment, L.P. ("BC OSI IX-CO"). BCI is also the managing partner of BCIP Associates-G ("BCIP G"). BCI is also the administrative member of Bain Capital Integral Investors 2006, LLC ("BCI 2006"). BCI is also the administrative member of BCIP TCV, LLC ("BCIP TCV" and together with BC OSI IX, BC OSI IX-CO, BCIP G and BCI 2006, the "Bain Entities"). By virtue of these relationships described in the foregoing footnotes, Mr. Balson may be deemed to share voting and dispositive power with respect to all of the shares of Common Stock held by the Bain Entities. Mr. Balson disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/: Andrew Balson 2012-08-13