SEC FORM 4 SEC Form 4
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
 
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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*
SINGH SUKHDEV

(Last) (First) (Middle)
2202 NORTH WEST SHORE BOULEVARD
SUITE 500

(Street)
TAMPA FL 33607

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Bloomin' Brands, Inc. [ BLMN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP & CDO
3. Date of Earliest Transaction (Month/Day/Year)
10/01/2018
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 10/01/2018 M 7,500(1) A $0 33,574 D
Common Stock 10/01/2018 F 2,952(2) D $19.79 30,622 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
Restricted Stock Units $0.0(3) 10/01/2018 M 7,500(4) (5) (6) Common Stock 7,500 $0 0 D
Restricted Stock Units $0.0(3) (7) (6) Common Stock 8,811 8,811 D
Restricted Stock Units $0.0(3) (8) (6) Common Stock 26,653 26,653 D
Restricted Stock Units $0.0(3) (9) (6) Common Stock 7,094 7,094 D
Restricted Stock Units $0.0(3) (10) (6) Common Stock 7,500 7,500 D
Stock Option (right to buy) $24.1 (11) 02/23/2028 Common Stock 20,633 20,633 D
Stock Option (right to buy) $17.27 (12) 02/24/2027 Common Stock 84,654 84,654 D
Stock Option (right to buy) $17.15 (13) 02/25/2026 Common Stock 33,076 33,076 D
Stock Option (right to buy) $25.36 (14) 02/26/2025 Common Stock 16,545 16,545 D
Stock Option (right to buy) $17.8 (15) 03/01/2026 Common Stock 44,393 44,393 D
Stock Option (right to buy) $22.09 (15) 02/03/2024 Common Stock 200,000 200,000 D
Explanation of Responses:
1. These shares of common stock were acquired upon the vesting and settlement of certain restricted stock units.
2. These common shares were delivered to the issuer to pay for the applicable withholding tax due upon vesting of certain restricted stock units.
3. Each restricted stock unit represents the contingent right to receive one share of common stock of the issuer upon vesting of the unit.
4. These restricted stock units were surrendered in exchange for shares of common stock of the issuer.
5. These restricted stock units, in the original grant amount of 30,000, began vesting in four equal annual installments on October 1, 2015.
6. This field is not applicable.
7. These restricted stock units, in the original amount of 8,811, will begin vesting in four equal installments on February 23, 2019.
8. These restricted stock units, in the original grant amount of 35,537, began vesting in four equal annual installments on February 24, 2018.
9. These restricted stock units, in the original grant amount of 14,188, began vesting in four equal annual installments on February 25, 2017.
10. These restricted stock units, in the original grant amount of 30,000, began vesting in four equal annual installments on May 4, 2016.
11. These stock options, in the original grant amount of 20,633 will begin vesting in four equal annual installments on February 23, 2019.
12. These stock options, in the original grant amount of 84,654, began vesting in four equal annual installments on February 24, 2018.
13. These stock options, in the original grant amount of 33,076, began vesting in four equal annual installments on February 25, 2017.
14. These stock options, in the original grant amount of 16,545, began vesting in four equal annual installments on February 26, 2016.
15. These stock options are fully vested.
Remarks:
/s/ Kelly Lefferts, as Attorney-in-Fact 10/02/2018
** 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).
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