0001181431-13-038826.txt : 20130703 0001181431-13-038826.hdr.sgml : 20130703 20130703165146 ACCESSION NUMBER: 0001181431-13-038826 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130702 FILED AS OF DATE: 20130703 DATE AS OF CHANGE: 20130703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HD Supply Holdings, Inc. CENTRAL INDEX KEY: 0001573097 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DURABLE GOODS [5000] IRS NUMBER: 260486780 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 3100 CUMBERLAND BOULEVARD STREET 2: SUITE 1480 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 770-852-9000 MAIL ADDRESS: STREET 1: 3100 CUMBERLAND BOULEVARD STREET 2: SUITE 1480 CITY: ATLANTA STATE: GA ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: HD Supply Holding, Inc. DATE OF NAME CHANGE: 20130408 FORMER COMPANY: FORMER CONFORMED NAME: HDS Investment Holding, Inc. DATE OF NAME CHANGE: 20130326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBSON MITCHELL CENTRAL INDEX KEY: 0001008015 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35979 FILM NUMBER: 13953726 MAIL ADDRESS: STREET 1: C/O MSC INDUSTRIAL DIRECT CO., INC. STREET 2: 75 MAXESS RD CITY: MELVILLE STATE: NY ZIP: 11747 4 1 rrd384941.xml FORM 4-RSU GRANT X0306 4 2013-07-02 0 0001573097 HD Supply Holdings, Inc. HDS 0001008015 JACOBSON MITCHELL 3100 CUMBERLAND BOULEVARD, STE 1700 ATLANTA GA 30339 1 0 0 0 Common Stock 2013-07-02 4 A 0 4559 0 A 4559 D Common Stock 4309375 I By LLCs Grant of restricted stock units under the Company's 2013 Omnibus Incentive Plan. Each restricted stock unit represents the contingent right to receive one share of the Company's common stock, par value $0.01 per share. The restricted stock units will vest on the earlier of (1) July 2, 2014 or (2) the Company's next annual shareholders meeting, and will be settled upon vesting unless the reporting person elects to defer settlement to a later date. Includes restricted stock units. Includes (i) 4,257,500 shares of common stock held by JFI-HDS, LLC; Mr. Jacobson is the managing member of JFI-HDS Partner, LLC which is the managing member of JFI-HDS, LLC, and (ii) 51,875 shares held by JFI-HDS Affiliates, LLC; Mr. Jacobson is the managing member of JFI-HDS Partner, LLC which is the managing member of JFI-HDS Affiliates, LLC. /s/ Ricardo J. Nunez, Attorney-in-Fact for Mitchell Jacobson 2013-07-02