Statement of Changes in Beneficial Ownership (4)
January 05 2021 - 5:46PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Hiller Michael |
2. Issuer Name and Ticker or Trading Symbol
Builders FirstSource, Inc.
[
BLDR
]
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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) President - Central Division |
(Last)
(First)
(Middle)
C/O BUILDERS FIRSTSOURCE, INC., 2001 BRYAN ST., SUITE 1600 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/1/2021 |
(Street)
DALLAS, TX 75201
(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, par value $0.01 per share | 1/1/2021 | | A | | 25295 | A | (1) | 25295 | D | |
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) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Received in exchange for 6,763 shares of BMC Stock Holdings, Inc. ("BMC") common stock, par value $0.01 per share, and 17,800 restricted stock units of BMC in connection with the completion of the merger (the "Merger"), on January 1, 2021 (the "Effective Date"), of Boston Merger Sub I Inc., a subsidiary of the Issuer, with and into BMC, pursuant to the Agreement and Plan of Merger, dated as of August 26, 2020 (the "Merger Agreement"). On the Effective Date, each outstanding BMC restricted stock unit vested and settled into 1.3125 shares of the Issuer's common stock, par value $0.01 per share, and each share of BMC common stock was converted automatically into the right to receive 1.3125 shares of the Issuer's common stock, par value $0.01 per share, in each case, in accordance with the Merger Agreement. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Hiller Michael C/O BUILDERS FIRSTSOURCE, INC. 2001 BRYAN ST., SUITE 1600 DALLAS, TX 75201 |
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| President - Central Division |
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Signatures
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/s/ Minator Azemi, by power of attorney | | 1/5/2021 |
**Signature of Reporting Person | Date |
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