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*
Wilson Michael

(Last) (First) (Middle)
1950 SPECTRUM CIRCLE
SUITE 300

(Street)
MARIETTA GA 30067

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/20/2021
3. Issuer Name and Ticker or Trading Symbol
BlueLinx Holdings Inc. [ BXC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
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 5,712 D
Common Stock 500 I By spouse
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) (1) Common Stock 5,333 (2) D
Restricted Stock Units (3) (3) Common Stock 800 (2) D
Explanation of Responses:
1. These are time-based restricted stock units that vest in three equal annual installments commencing on June 8, 2021. Vested shares will be delivered to the reporting person not later than 30 days after each vesting date.
2. Each restricted stock unit represents a contingent right to receive one share of BlueLinx Holdings Inc. common stock.
3. These are time-based restricted stock units that vest in three equal annual installments commencing on June 7, 2020. Vested shares will be delivered to the reporting person not later than 30 days after each vesting date.
Remarks:
/s/ Sean Ehni, as attorney-in-fact for Michael Wilson 06/21/2021
** 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.