Initial Statement of Beneficial Ownership (3)
03 March 2018 - 10:15AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
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
*
Robins Scott L
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2. Date of Event Requiring Statement (MM/DD/YYYY)
2/20/2018
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3. Issuer Name
and
Ticker or Trading Symbol
Builders FirstSource, Inc. [BLDR]
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(Last)
(First)
(Middle)
2001 BRYAN ST., SUITE 1600
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
SVP - COO - West /
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(Street)
DALLAS, TX 75201
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock, par value $0.01 per share
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3864
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D
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Common Stock, par value $0.01 per share
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3081
(1)
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D
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Common Stock, par value $0.01 per share
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6500
(2)
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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. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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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Explanation of Responses:
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(1)
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Reflects a portion of the restricted stock units acquired by the reporting person on January 4, 2016 pursuant to the Corporation's 2014 Incentive Plan. These restricted stock units vest on January 3, 2019 and entitle the reporting person to one share of common stock for each restricted stock unit that vests.
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(2)
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Reflects restricted stock units acquired by the reporting person on March 1, 2017 pursuant to the Corporation's 2014 Incentive Plan. The restricted stock units vest in 33.3% increments on each of March 1, 2018-2020 and entitle the reporting person to one share of common stock for each restricted stock unit that vests.
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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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Robins Scott L
2001 BRYAN ST., SUITE 1600
DALLAS, TX 75201
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SVP - COO - West
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Signatures
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/s/ Jeffrey A. Wier, by power of attorney
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2/28/2018
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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 5(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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