1
|
Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
R. Randall Rollins
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
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3
|
SEC Use Only
|
|
4
|
Source of Funds
00
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
1,073,543***
|
|
8
|
Shared Voting Power
22,867,579*
|
|
9
|
Sole Dispositive Power
1,073,543***
|
|
10
|
Shared Dispositive Power
22,867,579*
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
23,941,122*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
x
|
13
|
Percent of Class Represented by Amount in Row (11)
62.4 percent*
|
|
14
|
Type of Reporting Person
IN
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*
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Does not include 31,497** shares of the Company held by his wife. Includes 22,654,279** shares of the Company held by RFPS Management Company III, L.P. of which RFA Management Company, LLC (“RFAM”), a Georgia limited liability company, is the general partner. The voting interests of RFAM are held by two revocable trusts, one of which each of Gary or Randall Rollins is the grantor and sole trustee. LOR, Inc. is the manager of RFAM. Also includes 109,296** shares of common stock in two trusts of which he is co-trustee and as to which he shares voting and investment power, and 104,004** shares of common stock held indirectly on account of his role in a corporate fiduciary.
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**
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Mr. Rollins disclaims any beneficial interest in these holdings.
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***
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Also includes 132,000 shares of restricted stock.
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1
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Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
Gary W. Rollins
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
|
3
|
SEC Use Only
|
|
4
|
Source of Funds
OO
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
911,629
|
|
8
|
Shared Voting Power
22,867,579*
|
|
9
|
Sole Dispositive Power
911,629
|
|
10
|
Shared Dispositive Power
22,867,579*
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
23,779,208*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
x
|
13
|
Percent of Class Represented by Amount in Row (11)
62.0 percent*
|
|
14
|
Type of Reporting Person
IN
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*
|
Includes 22,654,279** shares of the Company held by RFPS Management Company III, L.P. of which RFA Management Company, LLC (“RFAM”), a Georgia limited liability company, is the general partner. The voting interests of RFAM are held by two revocable trusts, one of which each of Gary or Randall Rollins is the grantor and sole trustee. LOR, Inc. is the manager of RFAM. Includes 109,296** shares of common stock in two trusts of which he is co-trustee and as to which he shares voting and investment power, and 104,004** shares of common stock held indirectly on account of his role in a corporate fiduciary.
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**
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Mr. Rollins disclaims any beneficial interest in these holdings.
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1
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Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
RFPS Management Company III, L.P.
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
|
3
|
SEC Use Only
|
|
4
|
Source of Funds
OO
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
22,654,279*
|
|
8
|
Shared Voting Power
0
|
|
9
|
Sole Dispositive Power
22,654,279*
|
|
10
|
Shared Dispositive Power
0
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
22,654,279*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
o
|
13
|
Percent of Class Represented by Amount in Row (11)
59.1 percent
|
|
14
|
Type of Reporting Person
PN
|
1
|
Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
RFA Management Company, LLC
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
|
3
|
SEC Use Only
|
|
4
|
Source of Funds
OO
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
0
|
|
8
|
Shared Voting Power
22,654,279*
|
|
9
|
Sole Dispositive Power
0
|
|
10
|
Shared Dispositive Power
22,654,279*
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
22,654,279*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
o
|
13
|
Percent of Class Represented by Amount in Row (11)
59.1 percent*
|
|
14
|
Type of Reporting Person
CO
|
1
|
Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
RFPS Investments III, L.P.
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
|
3
|
SEC Use Only
|
|
4
|
Source of Funds
OO
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
0
|
|
8
|
Shared Voting Power
22,654,279*
|
|
9
|
Sole Dispositive Power
0
|
|
10
|
Shared Dispositive Power
22,654,279*
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
22,654,279*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
o
|
13
|
Percent of Class Represented by Amount in Row (11)
59.1 percent*
|
|
14
|
Type of Reporting Person
PN
|
1
|
Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
LOR, Inc.
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
|
3
|
SEC Use Only
|
|
4
|
Source of Funds
OO
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
0
|
|
8
|
Shared Voting Power
22,654,279*
|
|
9
|
Sole Dispositive Power
0
|
|
10
|
Shared Dispositive Power
22,654,279*
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
22,654,279*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
o
|
13
|
Percent of Class Represented by Amount in Row (11)
59.1 percent*
|
|
14
|
Type of Reporting Person
CO
|
1
|
Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person
LOR Investment Company, LLC
|
|
2
|
Check the Appropriate Box if a Member of a Group
|
(a)x
(b)¨
|
3
|
SEC Use Only
|
|
4
|
Source of Funds
WC
|
|
5
|
Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)
|
¨
|
6
|
Citizenship or Place of Organization
United States
|
|
7
|
Sole Voting Power
0
|
|
8
|
Shared Voting Power
22,654,279*
|
|
9
|
Sole Dispositive Power
0
|
|
10
|
Shared Dispositive Power
22,654,279*
|
|
11
|
Aggregate Amount Beneficially Owned by Each Reporting Person
22,654,279*
|
|
12
|
Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares
|
o
|
13
|
Percent of Class Represented by Amount in Row (11)
59.1 percent
|
|
14
|
Type of Reporting Person
CO
|
1.
|
(a) R. Randall Rollins is a person filing this statement.
|
2.
|
(a) Gary W. Rollins is a person filing this statement.
|
3.
|
(a) RFPS Management Company III, L.P. is a reporting person filing this statement.
|
4.
|
(a) RFA Management Company, LLC is a reporting person filing this statement.
|
5.
|
(a) RFPS Investments III, L.P. is a reporting person filing this statement.
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6.
|
(a) LOR, Inc. is a reporting person filing this statement.
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7.
|
(a) LOR Investment Company, LLC is a reporting person filing this statement.
|
4/22/14
|
30,000
|
1/27/15
|
30,000
|
1/26/16
|
30,000
|
Item 6.
|
Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
|
RFPS MANAGEMENT COMPANY III, L.P.
By: RFA MANAGEMENT COMPANY, LLC, General Partner
By: LOR, INC., Manager
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
RFA MANAGEMENT COMPANY, LLC
By: LOR, INC., Manager
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
RFPS INVESTMENTS III, L.P.
By: LOR INVESTMENT COMPANY, LLC, General Partner
By: LOR, INC., Class A Member
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
LOR INVESTMENT COMPANY, LLC
By: LOR, INC., Class A Member
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
LOR, INC.
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
R. RANDALL ROLLINS
GARY W. ROLLINS
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., attorney-in fact
|
Date: August 16, 2016
|
RFPS MANAGEMENT COMPANY III, L.P.
By: RFA MANAGEMENT COMPANY, LLC, General Partner
By: LOR, INC., Manager
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
RFA MANAGEMENT COMPANY, LLC
By: LOR, INC., Manager
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
RFPS INVESTMENTS III, L.P.
By: LOR INVESTMENT COMPANY, LLC, General Partner
By: LOR, INC., Class A Member
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
LOR INVESTMENT COMPANY, LLC
By: LOR, INC., Class A Member
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
LOR, INC.
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., Assistant Secretary
|
Date: August 16, 2016
|
R. RANDALL ROLLINS
GARY W. ROLLINS
By: /s/ Glenn P. Grove, Jr.
Glenn P. Grove, Jr., attorney-in fact
|
Date: August 16, 2016
|