0001209191-15-005449.txt : 20150121 0001209191-15-005449.hdr.sgml : 20150121 20150121163539 ACCESSION NUMBER: 0001209191-15-005449 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150116 FILED AS OF DATE: 20150121 DATE AS OF CHANGE: 20150121 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: Patrick Tricia CENTRAL INDEX KEY: 0001585849 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36107 FILM NUMBER: 15538928 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 2015-01-16 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 2015-01-16 4 S 0 11299640 48.75 D 12490154 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 January 16, 2015, Fund IX sold 5,179,401 shares of Common Stock. Following such sale, Fund IX held 5,965,552 shares of Common Stock. BCI is also the administrative member of Bain Capital Integral Investors, LLC ("Integral"). On January 16, 2015, Integral sold 5,969,145 shares of Common Stock. Following such sale, Integral held 6,373,627 shares of Common Stock. BCI is also the administrative member of BCIP TCV, LLC ("BCIP TCV"). On January 16, 2015, BCIP TCV sold 148,136 shares of Common Stock. Following such sale, BCIP TCV held 148,020 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 January 16, 2015, BCIP G sold 2,958 shares of Common Stock. Following such sale, BCIP G held 2,955 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 her pecuniary interest therein. /s/ Tricia Patrick 2015-01-21