SEC Form 4/A · accession 0001209191-15-023254
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Jerry N Ulrich
Officer — CFO & Chief Admin Officer
Period of report
Feb 23, 2015
Accepted (ET)
Mar 5, 2015 · 9:47 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001411488
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | holding | — | — | — | 1,010 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $39.11 | Feb 23, 2015 | A | 32,250 | A | — | Feb 23, 2022 | Class A Common Stock | 32,250 | 32,250 | D |
| Restricted Stock Unit (RSU)F3,F4 | — | Feb 23, 2015 | A | 9,850 | A | — | — | Class A Common Stock | 9,850 | 9,850 | D |
| Performance Shares (PSU)F5,F6 | — | Feb 23, 2015 | A | 18,288 | A | — | — | Class A Common Stock | 18,288 | 18,288 | D |
Explanation of responses
- F1Includes 649 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan ("ESPP") on April 30, 2014 and 362 shares on October 31, 2014. The ESPP shares were acquired in transactions exempt from Section 16(b).
- F2The shares vest pursuant to the following schedule: Twenty-Five Percent (25%) of the shares subject to the option vest on each of the first, second, third, and fourth anniversary of February 23, 2015, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
- F3Each restricted stock unit represents a contingent right to receive one share of the Company's Class A Common Stock.
- F4The restricted stock units vest pursuant to the following schedule: Twenty-Five Percent (25%) of the shares subject to the option vest on each of the first, second, third, and fourth anniversary of February 23, 2015, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
- F5Represents the performance shares earned under the 2014 performance share award as of February 23, 2015, at which date the Compensation Committee certified the extent to which the 2014 performance criteria were met. Each earned performance share represents the contingent right to receive one share of Class A Common Stock.
- F6Each performance share will convert into one share of Class A Common Stock upon vesting and settlement on January 3, 2017.