0001104659-19-038257.txt : 20190628
0001104659-19-038257.hdr.sgml : 20190628
20190628161029
ACCESSION NUMBER: 0001104659-19-038257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190628
FILED AS OF DATE: 20190628
DATE AS OF CHANGE: 20190628
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Investment Associates IX, Ltd.
CENTRAL INDEX KEY: 0001624514
STATE OF INCORPORATION: E9
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50924
FILM NUMBER: 19929365
BUSINESS ADDRESS:
STREET 1: MAPLES CORPORATE SERVICES LIMITED
STREET 2: UGLAND HOUSE
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY101194
BUSINESS PHONE: 345-949-8066
MAIL ADDRESS:
STREET 1: MAPLES CORPORATE SERVICES LIMITED
STREET 2: UGLAND HOUSE
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY101194
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CD&R Boulder Holdings, L.P.
CENTRAL INDEX KEY: 0001726960
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50924
FILM NUMBER: 19929366
BUSINESS ADDRESS:
STREET 1: UGLAND HOUSE
STREET 2: SOUTH CHURCH STREET
CITY: GRAND CAYMAN
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 FLR
CITY: NEW YORK
STATE: NY
ZIP: 10152
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BEACON ROOFING SUPPLY INC
CENTRAL INDEX KEY: 0001124941
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030]
IRS NUMBER: 364173371
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 505 HUNTMAR PARK DRIVE
STREET 2: SUITE 300
CITY: HERNDON
STATE: VA
ZIP: 20170
BUSINESS PHONE: 571-323-3939
MAIL ADDRESS:
STREET 1: 505 HUNTMAR PARK DRIVE
STREET 2: SUITE 300
CITY: HERNDON
STATE: VA
ZIP: 20170
4
1
a4.xml
4
X0306
4
2019-06-28
0
0001124941
BEACON ROOFING SUPPLY INC
BECN
0001624514
CD&R Investment Associates IX, Ltd.
C/O M+C CORPORATE SERVICES LIMITED
P.O. BOX 309 UGLAND HSE, SOUTH CHURCH ST
GEORGE TOWN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
0001726960
CD&R Boulder Holdings, L.P.
C/O M+C CORPORATE SERVICES LIMITED
P.O. BOX 309 UGLAND HSE, SOUTH CHURCH ST
GEORGE TOWN
E9
KY1-1104
CAYMAN ISLANDS
0
0
1
0
Common Stock
2019-06-28
4
P
0
4625998
34.1724
A
10550161
I
By affiliate
These securities are owned directly by CD&R Boulder Holdings, L.P. ("CD&R Stockholder"). CD&R Associates IX, Ltd., as the general partner of CD&R Stockholder may be deemed to beneficially own the shares of common stock held by CD&R Stockholder. CD&R Investment Associates IX, Ltd. expressly disclaims beneficial ownership of the shares of common stock held by CD&R Stockholder, except to the extent of its pecuniary interest therein.
CD&R Investment Associates IX, Ltd., By: /s/ Theresa A. Gore, VP, Treas. and Asst. Sec.
2019-06-28
CD&R Boulder Holdings, L.P., By: CD&R Investment Associates IX, Ltd, general partner; By: /s/ Theresa A. Gore, Vice President, Treasurer and Assistant Secretary
2019-06-28