| 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/17/2010 |
3. Issuer Name and Ticker or Trading Symbol
INTERLINE BRANDS, INC./DE [ IBI ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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| 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(1) | 1,000 | 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 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 | ||||
| Option (Right) to buy Common Stock | 01/01/2005 | 02/05/2013 | Common Stock | 20 | $40.15 | D | |
| Option (Right) to buy Common Stock | 03/13/2007 | 03/13/2013 | Common Stock | 3,762 | $23.32 | D | |
| Option (Right) to buy Common Stock | (2) | 03/01/2014 | Common Stock | 3,444 | $20.79 | D | |
| Option (Right) to buy Common Stock | (3) | 02/26/2015 | Common Stock | 4,138 | $19.63 | D | |
| Option (Right) to buy Common Stock | (4) | 02/25/2016 | Common Stock | 11,111 | $7.89 | D | |
| Option (Right) to buy Common Stock | (5) | 02/24/2017 | Common Stock | 4,930 | $17.92 | D | |
| Restricted Share Unit(6) | (7) | (7) | Commmon Stock | 8,125 | (6) | D | |
| Restricted Share Unit(6) | (8) | (8) | Common Stock | 3,627 | (6) | D | |
| Restricted Share Unit(6) | (9) | (9) | Common Stock | 1,344 | (6) | D | |
| Explanation of Responses: |
| 1. Subject to a Restricted Stock Award Agreement under the Company's 2004 Amended and Restated Equity Incentive Plan. These restricted shares of common stock were granted on August 10, 2006 and will vest on the fifth anniversary of the of the date of grant contingent upon the executive's continued employment with the Company on the applicable date. |
| 2. This option is exercisable in a series of four equal consecutive annual installments commencing on March 1, 2008, contingent upon the optionee's continued employment with the Company on the applicable date. |
| 3. This option is exercisable in a series of four equal consecutive annual installments commencing on February 26, 2009, contingent upon the optionee's continued employment with the Company on the applicable date. |
| 4. This option is exercisable in a series of four equal consecutive annual installments commencing on February 25, 2010, contingent upon the optionee's continued employment with the Company on the applicable date. |
| 5. This option is exercisable in a series of four equal consecutive annual installments commencing on February 24, 2011, contingent upon the optionee's continued employment with the Company on the applicable date. |
| 6. Each Restricted Share Unit ("RSU") represents a right to receive one share of the Company's Common Stock. |
| 7. These RSUs were granted on February 25, 2009. One half of the RSUs vest on the second anniversary of the date of grant and the second half of the RSUs vest on the third anniversary of the date of grant, contingent upon the executive's continued employment with the Company on the applicable date. |
| 8. These RSUs were granted on February 24, 2010. One half of the RSUs vest on the second anniversary of the date of grant and the second half of the RSUs vest on the third anniversary of the date of grant, contingent upon the executive's continued employment with the Company on the applicable date. |
| 9. These RSUs were granted on March 2, 2010. One half of the RSUs vest on the third anniversary of the date of grant and the second half of the RSUs vest on the fifth anniversary of the date of grant, contingent upon the executive's continued employment with the Company on the applicable date. |
| /s/ Michael Agliata, Attorney-in-Fact | 05/17/2010 | |
| ** 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. | ||