Form 4 Builders FirstSource, For: Aug 01 Filed by: MILGRIM BRETT N
August 4, 2016 10:07 AM EDT
FORM
4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities
Exchange Act of 1934 or Section 30(h) of the Investment Company Act of
1940
|
OMB APPROVAL |
OMB Number: |
3235-0287 |
Expires: |
December 31, 2014 |
Estimated average burden |
hours per response: |
0.5 |
|
|
|
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue.
See
Instruction 1(b).
|
1. Name and Address of Reporting Person
*
2001 BRYAN ST. |
SUITE 1600 |
(Street)
|
2. Issuer Name
and
Ticker or Trading Symbol
Builders FirstSource, Inc.
[
BLDR
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
|
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
3. Date of Earliest Transaction
(Month/Day/Year) 08/01/2016
|
4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1.
Title of Security (Instr.
3)
|
2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction Code (Instr.
8)
|
4.
Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
|
5.
Amount of Securities Beneficially Owned Following Reported
Transaction(s) (Instr.
3 and 4)
|
6.
Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
7.
Nature of Indirect Beneficial Ownership (Instr.
4)
|
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock, par value $0.01 per share
|
08/01/2016 |
|
A |
|
9,245
|
A
|
$
0
|
57,704
|
D
|
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
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 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: 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: |
|
/s/ Donald M. McAleenan, by power of attorney |
08/03/2016 |
|
** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* 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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
POWER OF ATTORNEY
-----------------
KNOW ALL PERSONS BY THESE PRESENTS that the undersigned hereby authorizes,
designates, and appoints Donald McAleenan and Jeffrey A. Wier as such person's
true and lawful attorneys-in-fact and agents, with full power of substitution
and re-substitution and full power to act, for the undersigned and in the
undersigned's name, place, and stead, to execute, acknowledge, deliver, and file
any and all statements required to be filed with the United States Securities
and Exchange Commission (the "Commission") by the undersigned pursuant to 1)
Section 16 of the Securities Exchange Act of 1934, as amended (the "1934 Act")
or 2) Rule 144 promulgated under the Securities Act of 1933, as amended (the
"1933 Act"), and the rules and regulations thereunder with respect to securities
of Builders FirstSource, Inc., a Delaware corporation, including, without
limitation, statements on Form ID, Form 4, Form 5 and Form 144 (and any
amendments thereto) and any successor forms adopted by the Commission, as
required by the 1934 Act or the 1933 Act and the rules and regulations
thereunder, and to take such other actions as such attorneys-in-fact may deem
necessary or appropriate in connection with such statements.
This power of attorney shall continue in effect until the undersigned no
longer has an obligation to file statements under Section 16 of the 1934 Act or
Rule 144 under the 1933 Act, or until specifically terminated in writing by the
undersigned. The undersigned acknowledges that the aforesaid persons are not
assuming any of the undersigned's responsibilities to comply with Section 16 of
the 1934 Act or Rule 144 under the 1933 Act.
IN WITNESS WHEREOF, the undersigned has duly executed this power of
attorney on the 25th day of July, 2016.
By: /s/ Brett N. Millgrim
--------------------------------
Brett N. Milgrim
FREE Breaking News Alerts from StreetInsider.com!
StreetInsider.com Top Tickers, 4/17/2024