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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
LP Units of Summit Materials Holdings L.P. | (1) | 11/16/2016 | C | 13,349,610 | (1) | (1) | Class A Common Stock | 13,349,610 | (1) | 0 | I | See Footnotes (3) (8) (9) (10) (11) (12) | |||
LP Units of Summit Materials Holdings L.P. | (1) | 11/16/2016 | C | 2,814,207 | (1) | (1) | Class A Common Stock | 2,814,207 | (1) | 0 | I | See Footnotes (4) (8) (9) (10) (11) (12) | |||
LP Units of Summit Materials Holdings L.P. | (1) | 11/16/2016 | C | 253,891 | (1) | (1) | Class A Common Stock | 253,891 | (1) | 0 | I | See Footnotes (5) (8) (9) (10) (11) (12) | |||
LP Units of Summit Materials Holdings L.P. | (1) | 11/16/2016 | C | 21,513 | (1) | (1) | Class A Common Stock | 21,513 | (1) | 0 | I | See Footnotes (6) (8) (9) (10) (11) (12) | |||
LP Units of Summit Materials Holdings L.P. | (1) | 11/16/2016 | C | 12,501 | (1) | (1) | Class A Common Stock | 12,501 | (1) | 0 | I | See Footnotes (7) (8) (9) (10) (11) (12) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Blackstone Capital Partners (Delaware) V-NQ L.P. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Blackstone Capital Partners (Delaware) NQ V-AC L.P. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Summit BCP Intermediate Holdings L.P. C/O THE BLACKSTONE GROUP L.P 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Summit BCP Intermediate Holdings GP, Ltd. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Blackstone Family Investment Partnership (Delaware) V-NQ L.P. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Blackstone Participation Partnership (Delaware) V-NQ L.P. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Blackstone Management Associates (Cayman) V-NQ L.P. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
BCP V-NQ GP L.L.C. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X | |||
Blackstone LR Associates (Cayman) V-NQ Ltd. C/O THE BLACKSTONE GROUP L.P. 345 PARK AVENUE NEW YORK, NY 10154 |
X |
BLACKSTONE CAPITAL PARTNERS (DELAWARE) V-NQ L.P., By: Blackstone Management Associates (Cayman) V-NQ L.P., its general partner, By: BCP V-NQ GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 11/18/2016 | |
**Signature of Reporting Person | Date | |
BLACKSTONE CAPITAL PARTNERS (DELAWARE) NQ V-AC L.P., By: Blackstone Management Associates (Cayman) V-NQ L.P., its general partner, By: BCP V-NQ GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 11/18/2016 | |
**Signature of Reporting Person | Date | |
SUMMIT BCP INTERMEDIATE HOLDINGS L.P., By: Summit BCP Intermediate Holdings GP, Ltd., its general partner, By: /s/ Neil P. Simpkins, Name: Neil P. Simpkins, Title: Director | 11/18/2016 | |
**Signature of Reporting Person | Date | |
SUMMIT BCP INTERMEDIATE HOLDINGS GP, LTD., By: Neil P. Simpkins, Name: Neil P. Simpkins, Title: Director | 11/18/2016 | |
**Signature of Reporting Person | Date | |
BLACKSTONE FAMILY INVESTMENT PARTNERSHIP (DELAWARE) V-NQ L.P., By: BCP V-NQ GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 11/18/2016 | |
**Signature of Reporting Person | Date | |
BLACKSTONE PARTICIPATION PARTNERSHIP (DELAWARE) V-NQ L.P., By: BCP V-NQ GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 11/18/2016 | |
**Signature of Reporting Person | Date | |
BLACKSTONE MANAGEMENT ASSOCIATES (CAYMAN) V-NQ L.P., By: BCP V-NQ GP L.L.C., its general partner, By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 11/18/2016 | |
**Signature of Reporting Person | Date | |
BCP V-NQ GP L.L.C., By: /s/ John G. Finley, Name: John G. Finley, Title: Chief Legal Officer | 11/18/2016 | |
**Signature of Reporting Person | Date | |
BLACKSTONE LR ASSOCIATES (CAYMAN) V-NQ LTD., By: /s/ John G. Finley, Name: John G. Finley, Title: CLO, Chief Administrative Officer | 11/18/2016 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Pursuant to the terms of an exchange agreement, dated as of March 11, 2015, limited partnership units of Summit Materials Holdings L.P. ("LP Units") held by the Reporting Persons are exchangeable for shares of the issuer's Class A common stock ("Common Stock") on a one-for-one basis. |
(2) | This amount represents the $22.10 public offering price per share of Common Stock, less the underwriting discount of $0.23 per share of Common Stock. |
(3) | Reflects securities of the issuer held directly by Blackstone Capital Partners (Delaware) V-NQ L.P. |
(4) | Reflects securities of the issuer held directly by Blackstone Capital Partners (Delaware) NQ V-AC L.P. |
(5) | Reflects securities of the issuer held directly by Summit BCP Intermediate Holdings L.P. The general partner of Summit BCP Intermediate Holdings L.P. is Summit BCP Intermediate Holdings GP, Ltd. Summit BCP Intermediate Holdings GP, Ltd. is owned by Blackstone Capital Partners (Delaware) V-NQ L.P., Blackstone Capital Partners (Delaware) NQ V-AC L.P., Blackstone Family Investment Partnership (Delaware) V-NQ L.P. and Blackstone Participation Partnership (Delaware) V-NQ L.P. |
(6) | Reflects securities of the issuer held directly by Blackstone Family Investment Partnership (Delaware) V-NQ L.P. |
(7) | Reflects securities of the issuer held directly by Blackstone Participation Partnership (Delaware) V-NQ L.P. (collectively with Blackstone Capital Partners (Delaware) V-NQ L.P., Blackstone Capital Partners (Delaware) NQ V-AC L.P., Summit BCP Intermediate Holdings L.P. and Blackstone Family Investment Partnership (Delaware) V-NQ L.P., the "Blackstone Funds"). |
(8) | The general partner of each of Blackstone Capital Partners (Delaware) V-NQ L.P. and Blackstone Capital Partners (Delaware) NQ V-AC L.P. is Blackstone Management Associates (Cayman) V-NQ L.P. The general partners of each of Blackstone Management Associates (Cayman) V-NQ L.P., Blackstone Family Investment Partnership (Delaware) V-NQ L.P. and Blackstone Participation Partnership (Delaware) V-NQ L.P. are Blackstone LR Associates (Cayman) V-NQ Ltd. and BCP V-NQ GP L.L.C. |
(9) | Blackstone Holdings II L.P. is the sole member of BCP V-NQ GP L.L.C. and the controlling shareholder of Blackstone LR Associates (Cayman) V-NQ Ltd. The general partner of Blackstone Holdings II L.P. is Blackstone Holdings I/II GP Inc. The sole shareholder of Blackstone Holdings I/II GP Inc. is The Blackstone Group L.P. The general partner of The Blackstone Group L.P. is Blackstone Group Management L.L.C. Blackstone Group Management L.L.C. is wholly owned by Blackstone's senior managing directors and controlled by its founder, Stephen A. Schwarzman. |
(10) | Due to the limitations of the electronic filing system Blackstone Holdings II L.P., Blackstone Holdings I/II GP Inc., The Blackstone Group L.P., Blackstone Group Management L.L.C. and Stephen A. Schwarzman are filing a separate Form 4. |
(11) | Information with respect to each of the Reporting Persons is given solely by such Reporting Person, and no Reporting Person has responsibility for the accuracy or completeness of information supplied by another Reporting Person. |
(12) | Each of the Reporting Persons (other than the Blackstone Funds to the extent they directly hold securities reported herein), disclaims beneficial ownership of the securities held by the Blackstone Funds, except to the extent of such Reporting Person's pecuniary interest therein, if any, and, pursuant to Rule 16a-1(a)(4) under the Securities Exchange Act of 1934, each of the Reporting Persons (other than the Blackstone Funds to the extent they directly hold securities reported herein) states that the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose. |