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*
Metheny Mike

(Last) (First) (Middle)
2006 ROUTE 130 NORTH

(Street)
BURLINGTON NJ 08016

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Burlington Stores, Inc. [ BURL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
3. Date of Earliest Transaction (Month/Day/Year)
06/11/2015
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 06/11/2015 M 1,833 A $5.02 3,455 D
Common Stock 06/11/2015 M 3,667 A $0.79 7,122 D
Common Stock 06/11/2015 M 3,668 A $5.02 10,790 D
Common Stock 06/11/2015 M 7,332 A $0.79 18,122 D
Common Stock 06/11/2015 M 22,000 A $4.55 40,122 D
Common Stock 06/11/2015 S 38,500 D $49.0349(1) 1,622 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
Employee Stock Option (right to buy) $5.02 06/11/2015 M 1,833 (2) 05/10/2021 Common Stock 3,666 $0 1,833 D
Employee Stock Option (right to buy) $0.79 06/11/2015 M 3,667 (3) 05/10/2021 Common Stock 7,335 $0 3,668 D
Employee Stock Option (right to buy) $5.02 06/11/2015 M 3,668 (4) 05/22/2022 Common Stock 11,003 $0 7,335 D
Employee Stock Option (right to buy) $0.79 06/11/2015 M 7,332 (5) 05/22/2022 Common Stock 21,998 $0 14,666 D
Employee Stock Option (right to buy) $4.55 06/11/2015 M 22,000 (6) 05/22/2023 Common Stock 55,000 $0 33,000 D
Explanation of Responses:
1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $48.90 to $49.07, inclusive. The reporting person undertakes to provide to Burlington Stores, Inc., any security holder of Burlington Stores, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in footnote (1) to this Form 4.
2. The options are currently exercisable as to 80% of the shares and become exercisable as to the remaining 20% of the shares on May 10, 2016.
3. The options are currently exercisable as to 80% of the shares and become exercisable as to the remaining 20% of the shares on May 10, 2016.
4. The options are currently exercisable as to 60% of the shares and become exercisable as to an additional 20% of the shares on May 22, 2016 and as to the remaining 20% of the shares on May 22, 2017.
5. The options are currently exercisable as to 60% of the shares and become exercisable as to an additional 20% of the shares on May 22, 2016 and as to the remaining 20% of the shares on May 22, 2017.
6. The options are currently exercisable as to 40% of the shares and become exercisable as to an additional 20% of the shares on May 22, 2016, as to an additional 20% of the shares on May 22, 2017 and as to the remaining 20% of the shares on May 22, 2018.
/s/ Christopher Schaub, as attorney-in-fact for Mike Metheny 06/15/2015
** 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.
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