UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
JLL Building Holdings, LLC C/O JLL PARTNERS, INC. 450 LEXINGTON AVENUE, 31ST FLOOR NEW YORK, NY 10017 |
 |  X |  |  |
JLL Building Holdings, LLC, By: JLL Partners Fund V, L.P., its sole member By: JLL Associates V, L.P., its general partner By: JLL Associates G.P. V, L.L.C., its general partner /s/ Paul S. Levy, Managing Member | 06/30/2010 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | JLL Building Holdings, LLC is the direct beneficial owner of 24,344,584 shares of common stock, par value $0.01 per share, of Builders FirstSource, Inc. (the "Company"). JLL Partners Fund V, L.P. is the sole member of JLL Building Holdings, LLC; JLL Associates V, L.P. is the general partner of JLL Partners Fund V, L.P.; and JLL Associates G.P. V, L.L.C. is the general partner of JLL Associates V, L.P. JLL Partners Fund V, L.P., JLL Associates V, L.P., and JLL Associates G.P. V, L.L.C. may be deemed to be the indirect beneficial owners of 24,344,584 shares of common stock of the Company. Each of these persons disclaims beneficial ownership of these securities, except to the extent of any pecuniary interest therein, and this report shall not be deemed an admission that any of these persons is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. |