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*
Jackson Brian Edward

(Last) (First) (Middle)
C/O BRIGHTVIEW HOLDINGS, INC.
980 JOLLY ROAD, SUITE 300

(Street)
BLUE BELL PA 19422

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/12/2023
3. Issuer Name and Ticker or Trading Symbol
BrightView Holdings, Inc. [ BV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Accounting Officer
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 7,210(1) 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
Restricted Stock Units (2) (2) Common Stock 732 (3) D
Restricted Stock Units (4) (4) Common Stock 1,452 (3) D
Resricted Stock Units (5) (5) Common Stock 2,055 (3) D
Restricted Stock Units (6) (6) Common Stock 4,612 (3) D
Explanation of Responses:
1. Includes shares of common stock acquired under the Issuer's employee stock purchase plan. Does not include unvested performance shares which will be reported upon achievement of certain performance criteria.
2. Represents grant of time-based restricted stock units that vest on May 22, 2024.
3. Each restricted stock unit represents a contingent right to receive one share of Issuer common stock. The restricted stock units will be settled in either common stock or cash (or a combination thereof).
4. Represents grant of time-based restricted stock units that vest in two equal annual installments beginning on November 19, 2023.
5. Represents grant of time-based restricted stock units that vest in three equal annual installments beginning on November 18, 2023.
6. Represents grant of time-based restricted stock units that vest in four equal annual installments beginning on November 18, 2023.
Remarks:
Exhibit 24: Power of Attorney
Jonathan M. Gottsegen, Power of Attorney 07/21/2023
** 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.
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