0001179110-19-011763.txt : 20191115 0001179110-19-011763.hdr.sgml : 20191115 20191115173859 ACCESSION NUMBER: 0001179110-19-011763 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191113 FILED AS OF DATE: 20191115 DATE AS OF CHANGE: 20191115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grijalva Laurie Marie CENTRAL INDEX KEY: 0001623311 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36711 FILM NUMBER: 191225492 MAIL ADDRESS: STREET 1: 15776 LAGUNA CANYON ROAD CITY: IRVINE STATE: CA ZIP: 92618 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: 0328 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 edgar.xml FORM 4 - X0306 4 2019-11-13 0 0001610250 Boot Barn Holdings, Inc. BOOT 0001623311 Grijalva Laurie Marie C/O BOOT BARN HOLDINGS, INC. 15345 BARRANCA PKWY IRVINE CA 92618 0 1 0 0 Chief Merchandise Officer Common Stock 2019-11-13 4 M 0 10123 6.15 A 12245 D Common Stock 2019-11-13 4 S 0 10123 42.4855 D 2122 D Common Stock 9505 D Options 6.15 2019-11-13 4 M 0 10123 0 D 2025-06-05 Common Stock 10123 20247 D Reflects the weighted average price of sales on November 13, 2019. The shares were sold in multiple transactions at prices ranging from $42.3900 to $42.5900, inclusive. The reporting person undertakes to provide to Boot Barn Holdings, Inc., any security holder of Boot Barn Holdings, 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 such range. Consists of the total number of shares of common stock held by the reporting person as of November 13, 2019, excluding any shares of common stock subject to further vesting conditions. Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of November 13, 2019 that remain subject to time-based vesting. The options were granted under the Company's 2014 Equity Incentive Plan and are fully vested and currently exercisable. The remaining options beneficially owned remain subject to future vesting. /s/ Laurie Marie Grijalva 2019-11-15