-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WGjruOWWQcTMVWv8E003SDrE3nZO/80gAxgWeljD1QXVvM3ibIjblfw0pn6fvZH+ pCIdD4WacSX3+Pfa/Lvp7g== 0001179110-09-014731.txt : 20091023 0001179110-09-014731.hdr.sgml : 20091023 20091023145456 ACCESSION NUMBER: 0001179110-09-014731 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090930 FILED AS OF DATE: 20091023 DATE AS OF CHANGE: 20091023 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BEACON ROOFING SUPPLY INC CENTRAL INDEX KEY: 0001124941 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: ONE LAKELAND PARK DRIVE CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 978-535-7668 MAIL ADDRESS: STREET 1: ONE LAKELAND PARK DRIVE CITY: PEABODY STATE: MA ZIP: 01960 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grace David R CENTRAL INDEX KEY: 0001302538 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50924 FILM NUMBER: 091134434 MAIL ADDRESS: STREET 1: BEACON ROOFING SUPPLY, INC. STREET 2: 1 LAKELAND PARK DRIVE CITY: PEABODY STATE: MA ZIP: 01960 5 1 edgar.xml FORM 5 - X0303 5 2009-09-30 0 0 0 0001124941 BEACON ROOFING SUPPLY INC BECN 0001302538 Grace David R ONE LAKELAND PARK DRIVE PEABODY MA 01960 0 1 0 0 CFO, Treasurer & SVP-Finance Common Stock, $.01 par value 2009-09-21 5 G 0 250 D 214014 D Common Stock, $.01 par value 5128 I See Note 2 Reflects a gift by Mr. Grace to The Open Door/Cape Ann Food Pantry, Inc. These shares are held by Mr. Grace's wife individually and as custodian for their son. Mr. Grace's son owns 4,528 shares and his wife owns 600 shares. Mr. Grace disclaims beneficial ownership of these shares. David R. Grace 2009-10-23 -----END PRIVACY-ENHANCED MESSAGE-----