0001104659-22-060367.txt : 20220513 0001104659-22-060367.hdr.sgml : 20220513 20220513162436 ACCESSION NUMBER: 0001104659-22-060367 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220511 FILED AS OF DATE: 20220513 DATE AS OF CHANGE: 20220513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WYSZOMIERSKI JACK L CENTRAL INDEX KEY: 0001023225 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37760 FILM NUMBER: 22923118 MAIL ADDRESS: STREET 1: SCHERING PLOUGH CORP STREET 2: ONE GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940-1000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SiteOne Landscape Supply, Inc. CENTRAL INDEX KEY: 0001650729 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PROFESSIONAL & COMMERCIAL EQUIPMENT & SUPPLIES [5040] IRS NUMBER: 364485550 STATE OF INCORPORATION: DE FISCAL YEAR END: 0101 BUSINESS ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 BUSINESS PHONE: (470) 277-7000 MAIL ADDRESS: STREET 1: MANSELL OVERLOOK STREET 2: 300 COLONIAL CENTER PARKWAY, SUITE 600 CITY: ROSWELL STATE: GA ZIP: 30076 4 1 tm2215518-10_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-05-11 0 0001650729 SiteOne Landscape Supply, Inc. SITE 0001023225 WYSZOMIERSKI JACK L MANSELL OVERLOOK 300 COLONIAL CENTER PARKWAY, SUITE 600 ROSWELL GA 30076 1 0 0 0 Common Stock 2022-05-11 4 A 0 960 0 A 15066 D Represents deferred stock units granted as director fees. The deferred stock units vest in full upon the earlier of (i) the day proceeding the Company's next annual meeting of stockholders and (ii) the first anniversary of May 11, 2022. Settlement is deferred until the earlier of the reporting person's termination of board service and a change in control of the Company. Includes deferred stock units. /s/ Briley Brisendine, Attorney-in-fact for Jack L. Wyszomierski 2022-05-13