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Bain Capital Fund IX, LLC, et al. – ‘4’ for 12/10/14 re: Burlington Stores, Inc.

On:  Friday, 12/12/14, at 5:34pm ET   ·   For:  12/10/14   ·   As:  10% Owner   ·   Accession #:  1209191-14-75042   ·   File #:  1-36107

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

12/12/14  Bain Capital Fund IX, LLC         4          10% Owner   1:14K  Burlington Stores, Inc.           DONNELLEY FIN… File16/FA
          Bain Capital Integral Investors, LLC
          BCIP Associates-G
          Bain Capital Investors LLC
          Bcip TCV, LLC
          Bain Capital Partners IX, L.P.
          Bain Capital Fund IX LP

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Form 4 Submission -- doc4.xml/3.6                   HTML     11K 




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 4 Submission
 
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BAIN CAPITAL INVESTORS LLC

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
Burlington Stores, Inc. [ BURL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/10/14
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock 12/10/14J (5) 880,789 (5)D$0.0031,992,850ISee Footnotes (1) (2) (3) (4) (5)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
1. Name and Address of Reporting Person*
BAIN CAPITAL INVESTORS LLC

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
1. Name and Address of Reporting Person*
BCIP Associates-G

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
1. Name and Address of Reporting Person*
BCIP TCV, LLC

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Bain Capital Integral Investors, LLC

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Bain Capital Fund IX, LLC

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
1. Name and Address of Reporting Person*
BAIN CAPITAL FUND IX L P

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Bain Capital Partners IX, L.P.

(Last)(First)(Middle)
JOHN HANCOCK TOWER
200 CLARENDON STREET

(Street)
BOSTONMA02116

(City)(State)(Zip)
Explanation of Responses:
(1)  Bain Capital Investors, LLC ("BCI") is the sole general partner of Bain Capital Partners IX, L.P. ("BCP IX"), which is the sole general partner of Bain Capital Fund IX, L.P. ("Fund IX LP"), which is the sole member of Bain Capital Fund IX, LLC ("Fund IX"). As a result, each of BCI, BCP IX and Fund IX LP may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Fund IX. Each of BCI, BCP IX and Fund IX LP disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
(2)  BCI is also the administrative member of Bain Capital Integral Investors, LLC ("Integral"). As a result, BCI may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by Integral. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
(3)  BCI is also the administrative member of BCIP TCV, LLC ("BCIP TCV"). As a result, BCI may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by BCIP TCV. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
(4)  BCI is also the managing partner of BCIP Associates-G ("BCIP G" and together with Fund IX, Integral and BCIP TCV, the "Bain Entities"). As a result, BCI may be deemed to share voting and dispositive power with respect to the shares of Common Stock held by BCIP G. BCI disclaims beneficial ownership of such securities except to the extent of its pecuniary interest therein.
(5)  On December 10, 2014, the Bain Entities distributed 880,789 shares of Common Stock to one or more members or partners of the Bain Entities in connection with certain charitable gifts made by such members or partners on December 10, 2014.
Remarks:
/s/ Jordan Hitch 12/12/14
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.
____________
Transaction Code:
    J    Other acquisition or disposition.

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