0001209191-12-038545.txt : 20120718 0001209191-12-038545.hdr.sgml : 20120718 20120718171714 ACCESSION NUMBER: 0001209191-12-038545 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120718 FILED AS OF DATE: 20120718 DATE AS OF CHANGE: 20120718 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIVE BELOW, INC CENTRAL INDEX KEY: 0001177609 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 000000000 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1818 MARKET STREET STREET 2: SUITE 1900 CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: 215 546 7909 MAIL ADDRESS: STREET 1: 1818 MARKET STREET STREET 2: SUITE 1900 CITY: PHILADELPHIA STATE: PA ZIP: 19103 FORMER COMPANY: FORMER CONFORMED NAME: FIVE BELOW INC DATE OF NAME CHANGE: 20030305 FORMER COMPANY: FORMER CONFORMED NAME: CHEAP HOLDINGS INC DATE OF NAME CHANGE: 20020717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Advent Partners GPE VI-A 2010 Limited Partnership CENTRAL INDEX KEY: 0001490262 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35600 FILM NUMBER: 12968543 BUSINESS ADDRESS: STREET 1: C/O ADVENT INTERNATIONAL CORPORATION STREET 2: 75 STATE STREET CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: (617) 951-9415 MAIL ADDRESS: STREET 1: C/O ADVENT INTERNATIONAL CORPORATION STREET 2: 75 STATE STREET CITY: BOSTON STATE: MA ZIP: 02109 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2012-07-18 0 0001177609 FIVE BELOW, INC FIVE 0001490262 Advent Partners GPE VI-A 2010 Limited Partnership C/O ADVENT INTERNATIONAL CORPORATION 75 STATE STREET, 29TH FLOOR BOSTON MA 02109 0 0 0 1 Member of group >10% Series A 8% Convertible Preferred Stock Common Stock 43006 I See Footnote The Series A 8% Convertible Preferred Stock is convertible into Five Below, Inc. common stock on a 1-for-0.346 basis and has no expiration date. These securities are indirectly beneficially owned as one of the shareholders of Advent - Five Below Acquisition Limited Partnership, which is the direct owner of these securities. Jarlyth H. Gibson, Compliance Officer 2012-07-18