0001140361-14-026497.txt : 20140624 0001140361-14-026497.hdr.sgml : 20140624 20140624124506 ACCESSION NUMBER: 0001140361-14-026497 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140624 DATE AS OF CHANGE: 20140624 EFFECTIVENESS DATE: 20140624 FILER: 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: 0331 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-219713 FILM NUMBER: 14936956 BUSINESS ADDRESS: STREET 1: 15776 LAGUNA CANYON ROAD CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-453-4400 MAIL ADDRESS: STREET 1: 15776 LAGUNA CANYON ROAD CITY: IRVINE STATE: CA ZIP: 92618 D 1 primary_doc.xml X0707 D LIVE 0001610250 Boot Barn Holdings, Inc. 15776 LAGUNA CANYON ROAD IRVINE CA CALIFORNIA 92618 949-453-4400 DELAWARE None None Corporation true 2011 James Conroy c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Executive Officer Director Mr. Conroy is the President and Chief Executive Officer of the Issuer. Paul Iacono c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Executive Officer Mr. Iacono is the Chief Financial Officer and Secretary of the Issuer. Laurie Grijalva c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Executive Officer Ms. Grijalva is a Vice President of the Issuer. Brad J. Brutocao c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Director Christian B. Johnson c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Director J. Frederick Simmons c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Director Peter Starrett c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Director Greg Bettinelli c/o Boot Barn Holdings, Inc. 15776 Laguna Canyon Road Irvine CA CALIFORNIA 92618 Director Other Decline to Disclose 06b false 2014-06-09 false true true 0 9400000 9400000 0 The total amount sold represents the value of securities exchanged for the securities of the Issuer. false 5 0 0 0 false Boot Barn Holdings, Inc. /s/ Paul Iacono Paul Iacono Chief Financial Officer and Secretary of the Issuer 2014-06-23