0001209191-15-004220.txt : 20150114
0001209191-15-004220.hdr.sgml : 20150114
20150114172916
ACCESSION NUMBER: 0001209191-15-004220
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150112
FILED AS OF DATE: 20150114
DATE AS OF CHANGE: 20150114
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: BEKENSTEIN JOSHUA
CENTRAL INDEX KEY: 0001195007
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36107
FILM NUMBER: 15527931
MAIL ADDRESS:
STREET 1: 34 MAPLE ST
CITY: MILFORD
STATE: MA
ZIP: 01757
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-01-12
0
0001579298
Burlington Stores, Inc.
BURL
0001195007
BEKENSTEIN JOSHUA
C/O BAIN CAPITAL INVESTORS, LLC
JOHN HANCOCK TOWER, 200 CLARENDON STREET
BOSTON
MA
02116
1
0
1
0
Common Stock
2015-01-12
4
J
0
1200360
0.00
D
23789794
I
See Footnotes
Common Stock
2015-01-12
4
G
0
347209
0.00
D
0
D
Bain Capital Investors, LLC ("BCI") is the sole general partner of Bain Capital Partners IX, L.P. which is the sole general partner of Bain Capital Fund IX, L.P., which is the sole member Bain Capital Fund IX, LLC ("Fund IX").
BCI is also the administrative member of Bain Capital Integral Investors, LLC ("Integral") and BCIP TCV, LLC ("BCIP TCV").
BCI is also the managing partner of BCIP Associates-G ("BCIP G" and together with Fund IX, Integral and BCIP TCV, the "Bain Entities").
The governance, investment strategy and decision-making process with respect to the investments held by the Bain Entities is directed by BCI's Global Private Equity Board ("GPEB"). Joshua Bekenstein is a member of GPEB and a Managing Director of BCI. By virtue of the relationships described in these footnotes, Mr. Bekenstein may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Bain Entities. Mr. Bekenstein disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
On January 12, 2015, the Bain Entities distributed 1,200,360 shares of Common Stock to one or more members or partners of the Bain Entities, including 347,209 shares of Common Stock to Mr. Bekenstein, in connection with certain charitable gifts made by such members or partners on January 12, 2015.
Mr. Bekenstein made a charitable gift of all 347,209 shares of Common Stock that he received in connection with the distribution.
/s/Josh Bekenstein
2015-01-14