0001415889-23-008504.txt : 20230522 0001415889-23-008504.hdr.sgml : 20230522 20230522163144 ACCESSION NUMBER: 0001415889-23-008504 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230519 FILED AS OF DATE: 20230522 DATE AS OF CHANGE: 20230522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burt Gene Eddie CENTRAL INDEX KEY: 0001540838 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36711 FILM NUMBER: 23944962 MAIL ADDRESS: STREET 1: 19601 N 27TH AVE CITY: PHOENIX STATE: AZ ZIP: 85027 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: 0401 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 form4-05222023_080527.xml X0407 4 2023-05-19 0001610250 Boot Barn Holdings, Inc. BOOT 0001540838 Burt Gene Eddie C/O BOOT BARN HOLDINGS, INC. 15345 BARRANCA PKWY IRVINE CA 92618 true false false false 0 Common Stock 2023-05-19 4 A 0 1698 0 A 1698 D Common Stock 2542 D Consists of shares underlying restricted stock units granted under the Company's 2020 Equity Incentive Plan, subject to vesting on May 20, 2024. Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of May 19, 2023 that remain subject to time-based vesting. Consists of the total number of shares of common stock held directly by the reporting person as of May 19, 2023, excluding any shares of common stock subject to further vesting conditions. /s/ Gene Eddie Burt 2023-05-22