| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Ulta Beauty, Inc. [ ULTA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 03/19/2019 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Common Stock | 03/19/2019 | M | 15,000 | A | $99.01 | 87,712 | D | |||
| Common Stock | 03/19/2019 | M | 17,223 | A | $151.2 | 104,935 | D | |||
| Common Stock | 03/19/2019 | M | 50,000 | A | $164.06 | 154,935 | D | |||
| Common Stock | 03/19/2019 | M | 27,474 | A | $191.76 | 182,409 | D | |||
| Common Stock | 03/19/2019 | M | 11,252 | A | $204.27 | 193,661 | D | |||
| Common Stock | 03/19/2019 | S | 120,949 | D | $334.4229(1) | 72,712 | D | |||
| Common Stock | 25,244 | I | By Trust(2) | |||||||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Stock Option (right to buy) | $99.01 | 03/19/2019 | M | 15,000 | (3) | 07/01/2023 | Common Stock | 15,000 | $0 | 0 | D | ||||
| Stock Option (right to buy) | $151.2 | 03/19/2019 | M | 17,223 | (4) | 03/27/2025 | Common Stock | 17,223 | $0 | 0 | D | ||||
| Stock Option (right to buy) | $164.06 | 03/19/2019 | M | 50,000 | (5) | 09/15/2025 | Common Stock | 50,000 | $0 | 150,000 | D | ||||
| Stock Option (right to buy) | $191.76 | 03/19/2019 | M | 27,474 | (6) | 03/25/2026 | Common Stock | 27,474 | $0 | 9,158 | D | ||||
| Stock Option (right to buy) | $204.27 | 03/19/2019 | M | 11,252 | (7) | 03/29/2028 | Common Stock | 11,252 | $0 | 33,758 | D | ||||
| Explanation of Responses: |
| 1. The price reported in Column 4 is a weighted average price. The prices actually received ranged from $331.41 to $341.33. The reporting person has provided to the issuer, and will provide to any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range for all transactions reported in this Form 4 utilizing a weighted average price. |
| 2. Shares held by the Mary N. Dillon Trust U/A DTD 3/31/2017. |
| 3. The options, representing a right to purchase a total of 25,000 shares, vest 20% on the first anniversary of the 7/1/2013 grant date, 20% on the third anniversary of the grant date, and 60% on the fifth anniversary of the grant date. |
| 4. The options, representing a right to purchase a total of 34,445 shares, vest in 25% increments beginning on 3/15/2016 and on each anniversary date thereafter. |
| 5. The options, representing a right to purchase a total of 200,000 shares, vesting in 25% increments beginning on 9/15/2018 and on each anniversary thereafter through 9/15/2021. |
| 6. The options, representing a right to purchase a total of 36,632 shares, vest in 25% increments beginning on 3/15/2017 and on each anniversary date thereafter. |
| 7. The options, representing a right to purchase a total of 45,010 shares, vest in 25% increments beginning on 3/15/2019 and on each anniversary date thereafter. |
| /s/ Jodi J. Caro, as attorney-in-fact for Mary N. Dillon | 03/21/2019 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||