0001209191-16-123267.txt : 20160525
0001209191-16-123267.hdr.sgml : 20160525
20160525170331
ACCESSION NUMBER: 0001209191-16-123267
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160525
FILED AS OF DATE: 20160525
DATE AS OF CHANGE: 20160525
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: US Foods Holding Corp.
CENTRAL INDEX KEY: 0001665918
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140]
IRS NUMBER: 260347906
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0102
BUSINESS ADDRESS:
STREET 1: 9399 W. HIGGINS RD.
STREET 2: SUITE 500
CITY: ROSEMONT
STATE: IL
ZIP: 60018
BUSINESS PHONE: 8477208000
MAIL ADDRESS:
STREET 1: 9399 W. HIGGINS RD.
STREET 2: SUITE 500
CITY: ROSEMONT
STATE: IL
ZIP: 60018
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CDR USF Co-Investor No. 2, L.P.
CENTRAL INDEX KEY: 0001675215
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675328
BUSINESS ADDRESS:
STREET 1: P.O. BOX 309 GT, UGLAND HOUSE
STREET 2: SOUTH CHURCH STREET
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 212-407-5200
MAIL ADDRESS:
STREET 1: C/O CLAYTON DUBILIER & RICE, LLC
STREET 2: 375 PARK AVENUE, 18TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10152
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CDR USF Co-Investor GP No. 2, Ltd
CENTRAL INDEX KEY: 0001675409
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37786
FILM NUMBER: 161675329
BUSINESS ADDRESS:
STREET 1: P.O. BOX 309 GT, UGLAND HOUSE
STREET 2: SOUTH CHURCH STREET
CITY: GEORGE TOWN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 212-407-5200
MAIL ADDRESS:
STREET 1: C/O CLAYTON DUBILIER & RICE, LLC
STREET 2: 375 PARK AVENUE, 18TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10152
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-05-25
0
0001665918
US Foods Holding Corp.
USFD
0001675215
CDR USF Co-Investor No. 2, L.P.
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001675409
CDR USF Co-Investor GP No. 2, Ltd
C/O MAPLES CORPORATE SERVICES LIMITED
P.O. BOX 309, UGLAND HOUSE
GRAND CAYMAN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
Common Stock
83333332
I
See Notes
Represents shares held as follows: (i) 44,444,444 shares of common stock held by Clayton, Dubilier & Rice Fund VII, L.P., whose general partner is CD&R Associates VII, Ltd., whose sole stockholder is CD&R Associates VII, L.P., whose general partner is CD&R Investment Associates VII, Ltd.; (ii) 12,962,963 shares of common stock held by Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., whose general partner is CD&R Associates VII (Co-Investment), Ltd., whose sole stockholder is CD&R Associates VII, L.P.; (iii) 316,450 shares of common stock held by CD&R Parallel Fund VII, L.P., whose general partner is CD&R Parallel Fund Associates VII, Ltd.; (continued at footnote 2)
(iv) 18,202,068 shares of common stock held by CDR USF Co-Investor L.P., whose general partner is CDR USF Co-Investor GP Limited, whose sole stockholder is Clayton, Dubilier & Rice Fund VII, L.P.; and (v) 7,407,407 shares of common stock held by CDR USF Co-Investor No. 2, L.P., whose general partner is CDR USF Co-Investor GP No. 2, Limited, whose sole stockholder is CD&R Associates VII, L.P.
Each of CD&R Associates VII, Ltd., CD&R Associates VII, L.P. and CD&R Investment Associates VII, Ltd. expressly disclaims beneficial ownership of the shares held by Clayton, Dubilier & Rice Fund VII, L.P., as well as the shares held by each of Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., CD&R Parallel Fund VII, L.P., CDR USF Co-Investor L.P. and CDR USF Co-Investor No. 2, L.P. Each of CDR USF Co-Investor GP Limited and CDR USF Co-Investor GP No. 2, Limited expressly disclaims beneficial ownership of the shares held by each of CDR USF Co-Investor Limited, CDR USF Co-Investor No. 2, Limited, (continued at footnote 4)
Clayton, Dubilier & Rice Fund VII, L.P., Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P. and CD&R Parallel Fund VII, L.P. CD&R Parallel Fund Associates VII, Ltd. expressly disclaims beneficial ownership of the shares held by each of CD&R Parallel Fund VII, L.P., Clayton, Dubilier & Rice Fund VII, L.P., Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P., CDR USF Co-Investor L.P. and CDR USF Co-Investor No. 2, L.P.
Because an electronically filed joint filing is limited to a maximum of ten reporting persons, this Form 3 is one of two filed today reporting on the same securities by the following joint filers: Clayton, Dubilier & Rice Fund VII, L.P.; CD&R Associates VII, Ltd.; CD&R Associates VII, L.P.; CD&R Investment Associates VII, Ltd.; Clayton, Dubilier & Rice Fund VII (Co-Investment), L.P.; CD&R Associates VII (Co-Investment), Ltd.; CD&R Parallel Fund VII, L.P.; CD&R Parallel Fund Associates VII, Ltd.; CDR USF Co-Investor L.P.; CDR USF Co-Investor GP Limited; CDR USF Co-Investor No. 2, L.P.; and CDR USF Co-Investor GP No. 2, Limited.
CDR USF Co-Investor No. 2, L.P., By: CDR USF Co-Investor GP No. 2, Limited, its general partner, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25
CDR USF Co-Investor GP No. 2, Limited, By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2016-05-25