SEC Form 4
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*
Kappitt Michael

(Last) (First) (Middle)
2202 NORTH WEST SHORE BOULEVARD
SUITE 500

(Street)
TAMPA FL 33607

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Bloomin' Brands, Inc. [ BLMN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP & President of Carrabba's
3. Date of Earliest Transaction (Month/Day/Year)
01/03/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 01/03/2017 M 6,250 A $0 20,826 D
Common Stock 01/03/2017 F 2,041 D $0 18,785(1) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Restricted Stock Units $0.0 01/03/2017 M 6,250 (2) (3) Common Stock 6,250 $0 6,250 D
Restricted Stock Units $0.0 (4) (3) Common Stock 11,201 11,201 D
Restricted Stock Units $0.0 (5) (3) Common Stock 25,000 25,000 D
Stock Option (right to buy) $17.8 (6) 03/01/2026 Common Stock 50,000 50,000 D
Stock Option (right to buy) $17.15 (7) 02/25/2026 Common Stock 26,113 26,113 D
Stock Option (right to buy) $25.36 (8) 02/26/2025 Common Stock 15,074 15,074 D
Stock Option (right to buy) $25.32 (9) 02/27/2024 Common Stock 12,490 12,490 D
Stock Option (right to buy) $23.87 (10) 01/02/2024 Common Stock 100,000 100,000 D
Stock Option (right to buy) $17.4 (11) 02/26/2023 Common Stock 10,021 10,021 D
Stock Option (right to buy) $10.03 (12) 07/05/2021 Common Stock 49,227 49,227 D
Explanation of Responses:
1. Certain of these shares represent restricted stock issued under a Bloomin' Brands, Inc. stock plan and are subject to risk of forfeiture. Of such shares, 6,250 continue to be subject to forfeiture under the plan.
2. These restricted stock units, in the original grant amount of 25,000, began vesting in four equal annual installments on January 2, 2015.
3. This field is not applicable.
4. These restricted stock units, in the original grant amount of 11,201, will begin vesting in four equal annual installments on February 25, 2017.
5. These restricted stock units, in the original grant amount of 25,000, will begin vesting in four equal annual installments on February 12, 2017.
6. These stock options, in the original grant amount of 50,000, will begin vesting in four equal annual installments on February 12, 2017.
7. These stock options, in the original grant amount of 26,113, will begin vesting in four equal annual installments on February 25, 2017.
8. These stock options, in the original grant amount of 15,074, began vesting in four equal annual installments on February 26, 2016.
9. These stock options, in the original grant amount of 12,490, began vesting in four equal annual installments on February 27, 2015.
10. These stock options, in the original grant amount of 100,000, began vesting in four equal annual installments on January 2, 2015.
11. These stock options, in the original grant amount of 10,021, began vesting in four equal annual installments on February 26, 2014.
12. These stock options are fully vested.
Remarks:
/s/ Kelly Lefferts, as Attorney-in-Fact 01/05/2017
** 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).
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