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