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*
Taylor Jason L

(Last) (First) (Middle)
505 HUNTMAR PARK DR
SUITE 300

(Street)
HERNDON VA 20170

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/19/2021
3. Issuer Name and Ticker or Trading Symbol
BEACON ROOFING SUPPLY INC [ BECN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, West Division
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, $0.01 par value 5,417 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
Stock Options (Right to buy) (1) 11/18/2021 Common Stock, $0.01 par value 3,387 18.72 D
Stock Options (Right to buy) (1) 11/14/2022 Common Stock, $0.01 par value 4,000 30.15 D
Stock Options (Right to buy) (1) 11/22/2023 Common Stock, $0.01 par value 2,152 36.19 D
Stock Options (Right to buy) (1) 11/21/2024 Common Stock, $0.01 par value 2,500 28.64 D
Stock Options (Right to buy) (1) 11/20/2025 Common Stock, $0.01 par value 3,595 37.89 D
Stock Options (Right to buy) (1) 11/18/2026 Common Stock, $0.01 par value 3,519 47.4 D
Stock Options (Right to buy) (1) 11/16/2027 Common Stock, $0.01 par value 2,522 55.17 D
Stock Options (Right to buy) 11/13/2019(2) 11/13/2028 Common Stock, $0.01 par value 3,429 27.26 D
Stock Options (Right to buy) 11/12/2020(2) 11/12/2029 Common Stock, $0.01 par value 3,636 33.47 D
Stock Options (Right to buy) 11/12/2021(2) 11/12/2030 Common Stock, $0.01 par value 4,880 35.78 D
Restricted Stock Units (RSUs) 11/13/2021(4) (4) Common Stock, $0.01 par value 688 (3) D
Restricted Stock Units (RSUs) 11/12/2022(4) (4) Common Stock, $0.01 par value 747 (3) D
Restricted Stock Units (RSUs) 11/12/2023(4) (4) Common Stock, $0.01 par value 2,096 (3) D
Explanation of Responses:
1. The stock options are fully vested.
2. The stock options are scheduled to vest in three (3) equal annual installments, beginning on this date (the first anniversary of the grant date), and followed by the two subsequent anniversaries of this date.
3. Restricted stock units convert into common stock on a one for one basis.
4. The restricted stock units are scheduled to vest on this date, the third anniversary of the grant date.
Remarks:
/s/ Jason L. Taylor 03/02/2021
** 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.
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 Number.