0001179110-19-009948.txt : 20190829 0001179110-19-009948.hdr.sgml : 20190829 20190829171446 ACCESSION NUMBER: 0001179110-19-009948 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190828 FILED AS OF DATE: 20190829 DATE AS OF CHANGE: 20190829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hazen John CENTRAL INDEX KEY: 0001766683 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36711 FILM NUMBER: 191067197 MAIL ADDRESS: STREET 1: 14852 VANGUARD CITY: HUNTINGTON BEACH STATE: CA ZIP: 92647 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Boot Barn Holdings, Inc. CENTRAL INDEX KEY: 0001610250 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-SHOE STORES [5661] IRS NUMBER: 900776290 STATE OF INCORPORATION: DE FISCAL YEAR END: 0328 BUSINESS ADDRESS: STREET 1: 15345 BARRANCA PARKWAY CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-453-4400 MAIL ADDRESS: STREET 1: 15345 BARRANCA PARKWAY CITY: IRVINE STATE: CA ZIP: 92618 4 1 edgar.xml FORM 4 - X0306 4 2019-08-28 0 0001610250 Boot Barn Holdings, Inc. BOOT 0001766683 Hazen John C/O BOOT BARN HOLDINGS, INC. 15345 BARRANCA PKWY IRVINE CA 92618 0 1 0 0 Chief Digital Officer Common Stock 2019-08-28 4 M 0 11254 18.66 A 13619 D Common Stock 2019-08-28 4 S 0 13619 33.7718 D 0 D Common Stock 19604 D Options 18.66 2019-08-28 4 M 0 11254 0 D 2026-03-19 Common Stock 11254 45016 D Reflects the weighted average price of sales on August 28, 2019. The shares were sold in multiple transactions at prices ranging from $33.71 to $33.94, inclusive. The reporting person undertakes to provide to Boot Barn Holdings, Inc., any security holder of Boot Barn Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within such range. Consists of the number of shares of common stock held by the reporting person as of August 28, 2019 that are not subject to further vesting conditions. Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of August 28, 2019 that remain subject to time-based vesting. The options were granted under the Company's 2014 Equity Incentive Plan and are fully vested and currently exercisable. /s/ John Hazen 2019-08-29