UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options | Â (1) | 12/20/2022 | Common Stock | 59,790 | $ 7.47 | D | Â |
Options | Â (1) | 12/20/2022 | Common Stock | 59,790 | $ 11.21 | D | Â |
Options | Â (2) | 12/20/2022 | Common Stock | 239,160 | $ 5.47 | D | Â |
Options | Â (2) | 12/20/2022 | Common Stock | 239,160 | $ 9.21 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Conroy James Grant C/O BOOT BARN HOLDINGS, INC. 15776 LAGUNA CANYON ROAD IRVINE, CA 92618 |
 X |  |  President and CEO |  |
/s/ James Grant Conroy | 10/29/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | The Options were granted under the Company's 2011 Equity Incentive Plan and are fully vested. |
(2) | The Options were granted under the Company's 2011 Equity Incentive Plan. 59,790 of the Options will become exercisable on each of December 20, 2014, December 20, 2015, December 20, 2016 and December 20, 2017. |