Statement of Changes in Beneficial Ownership (4)
December 08 2014 - 10:41AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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
*
Shaw Amanda Link
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2. Issuer Name
and
Ticker or Trading Symbol
Bloomin' Brands, Inc.
[
BLMN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
SVP, CAO & Int'l Finance
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(Last)
(First)
(Middle)
2202 NORTH WEST SHORE BOULEVARD, SUITE 500
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/4/2014
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(Street)
TAMPA, FL 33607
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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12/4/2014
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M
(1)
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7972
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A
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$6.50
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23752
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D
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Common Stock
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12/4/2014
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S
(1)
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7972
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D
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$23
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15780
(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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Restricted Stock Units
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$0.0
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10/1/2015
(3)
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(4)
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Common Stock
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10000.0
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10000
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D
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Stock Option (right to buy)
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$6.5
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12/4/2014
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M
(1)
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7972
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(5)
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4/6/2020
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Common Stock
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7972.0
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$6.50
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7973
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D
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Stock Option (right to buy)
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$10.03
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(6)
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12/16/2021
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Common Stock
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20000.0
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20000
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D
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Stock Option (right to buy)
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$17.4
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(7)
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2/26/2023
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Common Stock
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9068.0
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9068
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D
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Stock Option (right to buy)
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$22.76
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(8)
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9/3/2023
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Common Stock
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50000.0
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50000
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D
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Stock Option (right to buy)
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$25.32
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(9)
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2/27/2024
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Common Stock
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12166.0
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12166
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D
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Explanation of Responses:
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(
1)
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This transaction was effected by the reporting person pursuant to a Rule 10b5-1 trading plan.
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(
2)
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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, 5,000 continue to be subject to forfeiture under that plan as of the date of this filing.
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(
3)
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These restricted stock units vest in four equal annual installments beginning on October 1, 2015.
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(
4)
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This field is not applicable.
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(
5)
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This stock option is a replacement stock option and is fully vested.
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(
6)
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This stock option vests in five equal annual installments beginning on December 16, 2012.
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(
7)
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This stock option vests in four equal annual installments beginning on February 26, 2014.
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(
8)
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This stock option vests in four equal annual installments beginning on August 7, 2014.
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(
9)
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This stock option vests in four equal annual installments beginning on February 27, 2015.
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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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Shaw Amanda Link
2202 NORTH WEST SHORE BOULEVARD
SUITE 500
TAMPA, FL 33607
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SVP, CAO & Int'l Finance
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Signatures
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Kelly Lefferts, as Attorney-in-Fact
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12/8/2014
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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 4(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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