0001209191-14-063116.txt : 20141016 0001209191-14-063116.hdr.sgml : 20141016 20141014170722 ACCESSION NUMBER: 0001209191-14-063116 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141010 FILED AS OF DATE: 20141014 DATE AS OF CHANGE: 20141014 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: 1830 ROUTE 130 NORTH CITY: BURLINGTON STATE: NJ ZIP: 08016 BUSINESS PHONE: (609) 387-7800 MAIL ADDRESS: STREET 1: 1830 ROUTE 130 NORTH CITY: BURLINGTON STATE: NJ ZIP: 08016 FORMER COMPANY: FORMER CONFORMED NAME: Burlington Holdings, Inc. DATE OF NAME CHANGE: 20130613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patrick Tricia CENTRAL INDEX KEY: 0001585849 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36107 FILM NUMBER: 141155678 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL PARTNERS, LLC STREET 2: JOHN HANCOCK TOWER, 200 CLARENDON ST CITY: BOSTON STATE: MA ZIP: 02116 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-10-10 0 0001579298 Burlington Stores, Inc. BURL 0001585849 Patrick Tricia C/O BAIN CAPITAL INVESTORS, LLC JOHN HANCOCK TOWER, 200 CLARENDON STREET BOSTON MA 02116 1 0 1 0 Common Stock 2014-10-10 4 S 0 7252629 38.10 D 32873639 I See Footnotes 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"). On October 10, 2014, Fund IX sold 3,343,751 shares of Common Stock. Following such sale, Fund IX held 15,701,119 shares of Common Stock. BCI is also the administrative member of Bain Capital Integral Investors, LLC ("Integral"). On October 10, 2014, Integral sold 3,812,783 shares of Common Stock. Following such sale, Integral held 16,755,159 shares of Common Stock. BCI is also the administrative member of BCIP TCV, LLC ("BCIP TCV"). On October 10, 2014, BCIP TCV sold 94,214 shares of Common Stock. Following such sale, BCIP TCV held 389,582 shares of Common Stock. BCI is also the managing partner of BCIP Associates-G ("BCIP G" and together with Fund IX, Integral and BCIP TCV, the "Bain Entities"). On October 10, 2014, BCIP G sold 1,881 shares of Common Stock. Following such sale, BCIP G held 7,779 shares of Common Stock. Tricia Patrick is a Principal of BCI. By virtue of the relationships described in these footnotes, Ms. Patrick may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Bain Entities. Ms. Patrick disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/ Tricia Patrick 2014-10-14