0001181431-15-006469.txt : 20150505 0001181431-15-006469.hdr.sgml : 20150505 20150505130857 ACCESSION NUMBER: 0001181431-15-006469 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150501 FILED AS OF DATE: 20150505 DATE AS OF CHANGE: 20150505 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Burlington Stores, Inc. CENTRAL INDEX KEY: 0001579298 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 800895227 STATE OF INCORPORATION: DE FISCAL YEAR END: 0201 BUSINESS ADDRESS: STREET 1: 2006 ROUTE 130 NORTH CITY: FLORENCE STATE: NJ ZIP: 08518 BUSINESS PHONE: (609) 387-7800 MAIL ADDRESS: STREET 1: 2006 ROUTE 130 NORTH CITY: FLORENCE STATE: NJ ZIP: 08518 FORMER COMPANY: FORMER CONFORMED NAME: Burlington Holdings, Inc. DATE OF NAME CHANGE: 20130613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kingsbury Thomas CENTRAL INDEX KEY: 0001371136 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36107 FILM NUMBER: 15831685 MAIL ADDRESS: STREET 1: N56 W17000 RIDGEWOOD DRIVE CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 4 1 rrd424613.xml X0306 4 2015-05-01 0 0001579298 Burlington Stores, Inc. BURL 0001371136 Kingsbury Thomas 2006 ROUTE 130 NORTH BURLINGTON NJ 08016 1 1 0 0 President & CEO Common Stock 2015-05-01 4 A 0 13404 0 A 999625 D Common Stock 2015-05-01 4 S 0 6900 52.0137 D 992725 D Common Stock 2015-05-01 4 S 0 7100 52.3355 D 985625 D Common Stock 100000 I By grantor retained annuity trust Employee Stock Option (right to buy) 52.02 2015-05-01 4 A 0 92486 0 A 2025-05-01 Common Stock 92486 92486 D The options become exercisable as to 25% of the shares on May 1, 2016, as to an additional 25% of the shares on May 1, 2017, as to an additional 25% of the shares on May 1, 2018, and as to the remaining 25% of the shares on May 1, 2019. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $51.76 to $52.13, inclusive. The reporting person undertakes to provide to Burlington Stores, Inc., any security holder of Burlington Stores, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (2) to this Form 4. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 12, 2014. Restricted common stock granted on May 1, 2015, vesting 25% on each of the first four anniversaries of the grant date. On April 7, 2015, the reporting person contributed 100,000 shares of the common stock of Burlington Stores, Inc. to a grantor retained annuity trust, of which the reporting person's spouse is the trustee. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.14 to $53.02, inclusive. The reporting person undertakes to provide to Burlington Stores, Inc., any security holder of Burlington Stores, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (6) to this Form 4. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 12, 2014. /s/ Christopher T. Schaub, as attorney-in-fact for Thomas Kingsbury 2015-05-05