0001104659-13-072482.txt : 20130926 0001104659-13-072482.hdr.sgml : 20130926 20130926185940 ACCESSION NUMBER: 0001104659-13-072482 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130925 FILED AS OF DATE: 20130926 DATE AS OF CHANGE: 20130926 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ClubCorp Holdings, Inc. CENTRAL INDEX KEY: 0001577095 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP SPORTS & RECREATION CLUBS [7997] IRS NUMBER: 205818205 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3030 LBJ FREEWAY, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75234 BUSINESS PHONE: 972-406-4112 MAIL ADDRESS: STREET 1: 3030 LBJ FREEWAY, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75234 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tilley Daniel T CENTRAL INDEX KEY: 0001586165 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36074 FILM NUMBER: 131117672 MAIL ADDRESS: STREET 1: 3030 LBJ FREEWAY STREET 2: SUITE 600 CITY: DALLAS STATE: TX ZIP: 75234 4 1 a4.xml 4 X0306 4 2013-09-25 0 0001577095 ClubCorp Holdings, Inc. MYCC 0001586165 Tilley Daniel T 3030 LBJ FREEWAY, SUITE 600 DALLAS TX 75234 0 1 0 0 CIO & EVP Common Stock 2013-09-25 4 A 0 76338 A 101876 D Includes restricted stock. In connection with the initial public offering of ClubCorp Holdings, Inc., these shares were received from Fillmore CCA Investment, LLC ("Fillmore") in respect of the Class A Units and Class C Units of Fillmore previously held by Daniel T. Tilley. /s/ Ingrid Keiser, by power of attorney 2013-09-26