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*
Schmidt David Peter

(Last) (First) (Middle)
2202 NORTH WEST SHORE BLVD., STE. 500

(Street)
TAMPA FL 33607

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/29/2016
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 & Pres. Bonefish Grill
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 4,288(1) 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 (2) (3) Common Stock 2,723 0.0 D
Restricted Stock Units (4) (3) Common Stock 2,500 0.0 D
Restricted Stock Units (5) (3) Common Stock 2,484 0.0 D
Restricted Stock Units (6) (3) Common Stock 7,500 0.0 D
Restricted Stock Units (7) (3) Common Stock 593 0.0 D
Stock Option (right to buy) (8) 03/01/2026 Common Stock 23,900 17.8 D
Stock Option (right to buy) (9) 02/25/2026 Common Stock 8,463 17.15 D
Stock Option (right to buy) (10) 02/26/2025 Common Stock 4,000 25.36 D
Stock Option (right to buy) (11) 02/27/2024 Common Stock 2,434 25.32 D
Stock Option (right to buy) (12) 02/26/2023 Common Stock 4,232 17.4 D
Stock Option (right to buy) (13) 04/06/2020 Common Stock 3,500 6.5 D
Explanation of Responses:
1. Certain of these shares represent restricted stock issued under a Bloomin' Brands, Inc. stock plan and are subject to a risk of forfeiture. Of such shares, 505 continue to be subject to forfeiture under the plan as of the date of this filing.
2. These restricted stock units in the original grant amount of 2,723 will begin vesting in four equal annual installments on February 25, 2017.
3. This field is not applicable.
4. These restricted stock units in the original grant amount of 2,500 will begin vesting in four equal annual installments on September 1, 2016.
5. These restricted stock units in the original grant amount of 3,310 began vesting in four equal annual installments on February 26, 2016.
6. These restricted stock units in the original grant amount of 10,000 began vesting in four equal annual installments on October 1, 2015.
7. These restricted stock units in the original grant amount of 1,185 began vesting in four equal annual installments on February 27, 2015.
8. These stock options in the original grant amount of 23,900 will begin vesting in four equal annual installments on March 1, 2017.
9. These stock options in the original grant amount of 8,463 will begin vesting in four equal annual installments on February 25, 2017.
10. These stock options in the original grant amount of 4,000 began vesting in four equal annual installments on February 26, 2016.
11. These stock options in the original grant amount of 2,434 began vesting in four equal annual installments on February 27, 2015.
12. These stock options in the original grant amount of 4,232 began vesting in four equal annual installments on February 26, 2014.
13. This stock option is a replacement stock option and is fully vested.
Remarks:
Kelly Lefferts, as Attorney-in-Fact 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 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).
Note: 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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