0001179110-21-005540.txt : 20210518 0001179110-21-005540.hdr.sgml : 20210518 20210518184910 ACCESSION NUMBER: 0001179110-21-005540 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210514 FILED AS OF DATE: 20210518 DATE AS OF CHANGE: 20210518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Conroy James Grant CENTRAL INDEX KEY: 0001623534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36711 FILM NUMBER: 21937773 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: 0327 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 2021-05-14 0 0001610250 Boot Barn Holdings, Inc. BOOT 0001623534 Conroy James Grant C/O BOOT BARN HOLDINGS, INC. 15345 BARRANCA PKWY IRVINE CA 92618 1 1 0 0 Chief Executive Officer Common Stock 2021-05-14 4 A 0 10215 0 A 61047 D Common Stock 18364 D Consists of shares underlying restricted stock units granted under the Company's 2020 Equity Incentive Plan, subject to vesting over a four-year period in equal annual installments on each anniversary of the grant date. Consists of the total number of shares of common stock underlying restricted stock units held by the reporting person as of May 14, 2021 that remain subject to time-based vesting. Consists of the number of shares of common stock held by the reporting person as of May 14, 2021 that are not subject to further vesting conditions. /s/ James Grant Conroy 2021-05-18