SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Lefferts Kelly

(Last) (First) (Middle)
2202 N. WEST SHORE BLVD
SUITE 500

(Street)
TAMPA FL 33607

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/15/2019
3. Issuer Name and Ticker or Trading Symbol
Bloomin' Brands, Inc. [ BLMN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Chief Legal Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 25,408 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) (2) Common Stock 40,000 0.0(3) D
Restricted Stock Units (4) (2) Common Stock 2,802 0.0(3) D
Restricted Stock Units (5) (2) Common Stock 1,827 0.0(3) D
Restricted Stock Units (6) (2) Common Stock 1,724 0.0(3) D
Restricted Stock Units (7) (2) Common Stock 856 0.0(3) D
Restricted Stock Units (8) (2) Common Stock 1,250 0.0(3) D
Stock Option (right to buy) (9) 02/19/2029 Common Stock 7,281 21.29 D
Stock Option (right to buy) (10) 02/23/2028 Common Stock 5,703 24.1 D
Stock Option (right to buy) (11) 02/24/2027 Common Stock 8,210 17.27 D
Stock Option (right to buy) (12) 02/25/2026 Common Stock 7,979 17.15 D
Stock Option (right to buy) (13) 02/26/2025 Common Stock 4,200 25.36 D
Stock Option (right to buy) (14) 02/27/2024 Common Stock 3,407 25.32 D
Stock Option (right to buy) (15) 02/26/2023 Common Stock 6,287 17.4 D
Explanation of Responses:
1. On June 1, 2019, these restricted stock units were granted in the original amount of 40,000, which vest in three equal annual installments, with a final vesting in 2022.
2. This field is not applicable.
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. On February 19, 2019, these restricted stock units were granted in the original amount of 2,802, which vest in three equal annual installments, with a final vesting in 2022.
5. On February 23, 2018, these restricted stock units were granted in the original amount of 2,436, which vest in four equal annual installments, with a final vesting in 2022.
6. On February 24, 2017, these restricted stock units were granted in the original amount of 3,447, which vest in four equal annual installments, with a final vesting in 2021.
7. On February 25, 2016, these restricted stock units were granted in the original amount of 3,423, which vest in four equal annual installments, with a final vesting in 2020.
8. On October 1, 2015, these restricted stock units were granted in the original amount of 5,000, which vest in four equal annual installments, with a final vesting in 2019.
9. On February 19, 2019, these stock options were granted in the original amount of 7,281, which vest in three equal annual installments, with a final vesting in 2022.
10. On February 23, 2018, these stock options were granted in the original amount of 5,703, which vest in four equal annual installments, with a final vesting in 2022.
11. On February 24, 2017, these stock options were granted in the original amount of 8,210, which vest in four equal annual installments, with a final vesting in 2021.
12. On February 25, 2016, these stock options were granted in the original amount of 7,979, which vest in four equal annual installments, with a final vesting in 2020.
13. On February 26, 2015, these stock options were granted in the original amount of 4,200, which vest in four equal annual installments, with a final vesting in 2019.
14. On February 27, 2014, these stock options were granted in the original amount of 3,407, which vest in four equal annual installments, with a final vesting in 2018.
15. On February 26, 2013, these stock options were granted in the original amount of 6,287, which vest in four equal annual installments, with a final vesting in 2017.
Remarks:
/s/ Kelly Lefferts 07/17/2019
** 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 5 (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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