SEC Form 4 · accession 0001209191-15-039066
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David C Tate
Officer — SVP, Products and Marketing
Period of report
May 1, 2015
Accepted (ET)
May 5, 2015 · 6:40 pm EDT
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 B Common Stock | May 1, 2015 | M | 1,000 | $12.271 | A | 7,321 | D | |
| Class B Common Stock | May 1, 2015 | M | 1,900 | $13.631 | A | 9,221 | D | |
| Class B Common Stock | May 1, 2015 | M | 2,500 | $21.031 | A | 11,721 | D | |
| Class B Common Stock | May 1, 2015 | M | 6,875 | $20.00 | A | 18,596 | D | |
| Class B Common StockF1 | May 1, 2015 | S | 1,000 | $37.0086 | D | 17,596 | D | |
| Class B Common StockF1 | May 1, 2015 | S | 1,900 | $37.0086 | D | 15,696 | D | |
| Class B Common StockF1 | May 1, 2015 | S | 2,500 | $37.0086 | D | 13,196 | D | |
| Class B Common StockF1 | May 1, 2015 | S | 6,875 | $37.0086 | D | 6,321 | 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 | $12.271 | May 1, 2015 | M | 1,000 | D | — | Aug 24, 2016 | Class B Common Stock | 1,000 | 0 | D |
| Stock Option (Right to Buy)F3 | $13.631 | May 1, 2015 | M | 1,900 | D | — | Mar 9, 2017 | Class B Common Stock | 1,900 | 0 | D |
| Stock Option (Right to Buy)F4 | $21.031 | May 1, 2015 | M | 2,500 | D | — | Oct 18, 2018 | Class B Common Stock | 2,500 | 2,500 | D |
| Stock Option (Right to BuyF5 | $20.00 | May 1, 2015 | M | 6,875 | D | — | Mar 26, 2020 | Class B Common Stock | 6,875 | 13,750 | D |
Explanation of responses
- F1Transaction executed in multiple trades at prices ranging from $36.94 to $37.09 per share, inclusive. The price reported in column 4 of Table I above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
- F2The shares vest pursuant to the following schedule: Twenty Percent (20%) of the shares subject to the option vest on each of the first, second, third, fourth and fifth anniversary of August 24, 2009, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
- F3The shares vest pursuant to the following schedule: Twenty Percent (20%) of the shares subject to the option vest on each of the first, second, third, fourth and fifth anniversary of March 9, 2010, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
- F4The shares vest pursuant to the following schedule: Twenty Percent (20%) of the shares subject to the option vest on each of the first, second, third, fourth and fifth anniversary of October 18, 2011, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
- F5The 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 March 26, 2013, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.