Statement of Changes in Beneficial Ownership (4)
October 03 2014 - 11:55AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Shaw Amanda Link
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2. Issuer Name
and
Ticker or Trading Symbol
Bloomin' Brands, Inc.
[
BLMN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
SVP-Technology & CAO
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(Last)
(First)
(Middle)
2202 NORTH WEST SHORE BOULEVARD, SUITE 500
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3. Date of Earliest Transaction
(MM/DD/YYYY)
10/1/2014
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(Street)
TAMPA, FL 33607
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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15780
(1)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Restricted Stock Units
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$0.0
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10/1/2014
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A
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10000
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10/1/2015
(2)
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(3)
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Common Stock
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10000.0
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$0
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10000
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D
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Stock Option (right to buy)
(4)
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$6.5
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(5)
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4/6/2020
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Common Stock
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23917.0
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23917
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D
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Stock Option (right to buy)
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$10.03
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(6)
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12/16/2021
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Common Stock
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20000.0
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20000
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D
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Stock Option (right to buy)
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$17.4
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(7)
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2/26/2023
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Common Stock
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9068.0
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9068
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D
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Stock Option (right to buy)
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$22.76
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(8)
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9/3/2023
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Common Stock
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50000.0
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50000
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D
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Stock Option (right to buy)
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$25.32
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(9)
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2/27/2024
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Common Stock
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12166.0
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12166
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D
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Explanation of Responses:
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(
1)
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Certain of these shares represent restricted stock issued under a Bloomin' Brands, Inc. stock plan and are subject to a risk of forfeiture. Of such shares, 5,000 continue to be subject to forfeiture under that plan as of the date of this filing.
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(
2)
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These restricted stock units vest in four equal annual installments beginning on October 1, 2015.
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(
3)
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This field is not applicable.
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(
4)
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On April 6, 2010, the reporting person was granted a replacement stock option with an exercise price of $6.50 per share in exchange for an outstanding stock option with an exercise price of $10.00 per share. The original stock option was cancelled. Under the exchange program, the vested portion of the eligible stock options as of the grant date of the replacement stock options were exchanged for stock options that were fully vested. The unvested portion of the exchanged stock options were exchanged for unvested replacement stock options that vest and become exercisable over a period of time that is equal to the remaining vesting period of the exchanged stock options, plus one year, subject to the participant's continued employment through the new vesting date.
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(
5)
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This stock option is a replacement stock option and is fully vested.
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(
6)
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This stock option vests in five equal annual installments beginning on December 16, 2012.
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(
7)
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This stock option vests in four equal annual installments beginning on February 26, 2014.
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(
8)
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This stock option vests in four equal annual installments beginning on August 7, 2014.
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(
9)
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This stock option vests in four equal annual installments beginning on February 27, 2015.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Shaw Amanda Link
2202 NORTH WEST SHORE BOULEVARD
SUITE 500
TAMPA, FL 33607
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SVP-Technology & CAO
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Signatures
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Kelly Lefferts, as Attorney-in-Fact
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10/3/2014
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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