0001181431-14-017763.txt : 20140502
0001181431-14-017763.hdr.sgml : 20140502
20140502171940
ACCESSION NUMBER: 0001181431-14-017763
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140430
FILED AS OF DATE: 20140502
DATE AS OF CHANGE: 20140502
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Burlington Stores, Inc.
CENTRAL INDEX KEY: 0001579298
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311]
IRS NUMBER: 800895227
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0201
BUSINESS ADDRESS:
STREET 1: 1830 ROUTE 130 NORTH
CITY: BURLINGTON
STATE: NJ
ZIP: 08016
BUSINESS PHONE: (609) 387-7800
MAIL ADDRESS:
STREET 1: 1830 ROUTE 130 NORTH
CITY: BURLINGTON
STATE: NJ
ZIP: 08016
FORMER COMPANY:
FORMER CONFORMED NAME: Burlington Holdings, Inc.
DATE OF NAME CHANGE: 20130613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Patrick Tricia
CENTRAL INDEX KEY: 0001585849
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36107
FILM NUMBER: 14810508
MAIL ADDRESS:
STREET 1: C/O BAIN CAPITAL PARTNERS, LLC
STREET 2: JOHN HANCOCK TOWER, 200 CLARENDON ST
CITY: BOSTON
STATE: MA
ZIP: 02116
4
1
rrd408377.xml
FORM 4
X0306
4
2014-04-30
0
0001579298
Burlington Stores, Inc.
BURL
0001585849
Patrick Tricia
C/O BAIN CAPITAL INVESTORS, LLC
JOHN HANCOCK TOWER, 200 CLARENDON STREET
BOSTON
MA
02116
1
0
1
0
Common Stock
2014-04-30
4
J
0
1153728
0
D
53235156
I
See Footnotes
Bain Capital Investors, LLC ("BCI") is the sole general partner of Bain Capital Partners IX, L.P. which is the sole general partner of Bain Capital Fund IX, L.P., which is the sole member Bain Capital Fund IX, LLC ("Fund IX").
BCI is also the administrative member of Bain Capital Integral Investors, LLC ("Integral") and BCIP TCV, LLC ("BCIP TCV").
BCI is also the managing partner of BCIP Associates-G ("BCIP G" and together with the Fund IX, Integral and BCIP TCV, the "Bain Entities").
Tricia Patrick is a Principal of BCI. By virtue of the relationships described in these footnotes, Ms. Patrick may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Bain Entities. Ms. Patrick disclaims beneficial ownership of such securities except to the extent of her pecuniary interest therein.
On April 30, 2014, the Bain Entities distributed 1,153,728 shares of Common Stock to one or more members or partners of the Bain Entities in connection with certain charitable gifts made by such members or partners on April 30, 2014.
/s/ Tricia Patrick
2014-05-02