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