Statement of Changes in Beneficial Ownership (4)
December 09 2021 - 4:44PM
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
*
Dillon Mary N |
2. Issuer Name and Ticker or Trading Symbol
Ulta Beauty, Inc.
[
ULTA
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
1000 REMINGTON BLVD., SUITE 120 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/8/2021 |
(Street)
BOLINGBROOK, IL 60440
(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 | 12/8/2021 | | M | | 50000 | A | $164.06 | 101757 | D | |
Common Stock | 12/8/2021 | | S | | 4481 | D | $408.6614 (1) | 97276 | D | |
Common Stock | 12/8/2021 | | S | | 5095 | D | $409.8035 (2) | 92181 | D | |
Common Stock | 12/8/2021 | | S | | 29408 | D | $410.5169 (3) | 62773 | D | |
Common Stock | 12/8/2021 | | S | | 7193 | D | $411.5467 (4) | 55580 | D | |
Common Stock | 12/8/2021 | | S | | 2246 | D | $412.4673 (5) | 53334 | D | |
Common Stock | 12/8/2021 | | S | | 1577 | D | $413.4661 (6) | 51757 | D | |
Common Stock | | | | | | | | 77200 | I | By Trust (7) |
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 |
Stock Option (right to buy) | $164.06 | 12/8/2021 | | M | | | 50000 | (8) | 9/15/2025 | Common Stock | 50000 | $0 | 0 | D | |
Explanation of Responses: |
(1) | The price reported in Column 4 is a weighted average price. The actual sale prices for these transactions ranged from $408.215 to $409.215. The reporting person will provide the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the range. |
(2) | The price reported in Column 4 is a weighted average price. The actual sale prices for these transactions ranged from $409.23 to $410.225. The reporting person will provide the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the range. |
(3) | The price reported in Column 4 is a weighted average price. The actual sale prices for these transactions ranged from $410.25 to $411.25. The reporting person will provide the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the range. |
(4) | The price reported in Column 4 is a weighted average price. The actual sale prices for these transactions ranged from $411.255 to $412.13. The reporting person will provide the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the range. |
(5) | The price reported in Column 4 is a weighted average price. The actual sale prices for these transactions ranged from $412.26 to $412.95. The reporting person will provide the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the range. |
(6) | The price reported in Column 4 is a weighted average price. The actual sale prices for these transactions ranged from $413.31 to $413.98. The reporting person will provide the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the range. |
(7) | Shares held by the Mary N. Dillon Trust U/A DTD 3/31/2017. |
(8) | The options vested 25% on 9/15/2018 and on each anniversary date thereafter. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Dillon Mary N 1000 REMINGTON BLVD., SUITE 120 BOLINGBROOK, IL 60440 | X |
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Signatures
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/s/ Jodi J. Caro, as attorney-in-fact for Mary N. Dillon | | 12/9/2021 |
**Signature of Reporting Person | Date |
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