SEC Form 4 · accession 0001209191-15-079914
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
Nov 9, 2015
Accepted (ET)
Nov 12, 2015 · 8:25 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 |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 9, 2015 | M | 4,500 | $18.491 | A | 22,071 | D | |
| Common StockF1 | Nov 9, 2015 | S | 2,632 | $44.4533 | D | 19,439 | D | |
| Common StockF1 | Nov 9, 2015 | F | 1,868 | $44.4533 | D | 17,571 | D | |
| Common StockF2 | Nov 9, 2015 | S | 1,200 | $44.46 | D | 16,371 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF3 | $18.491 | Nov 9, 2015 | M | 4,500 | D | — | May 14, 2019 | Common Stock | 4,500 | 9,000 | D |
Explanation of responses
- F1Transaction executed in multiple trades at prices ranging from $44.23 to $44.68 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.
- F2Transaction executed in multiple trades at prices ranging from $44.26 to $44.62 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.
- F3The stock appreciation rights (SAR) vest pursuant to the following schedule: Twenty Percent (20%) of the shares subject to the SAR vest on each of the first, second, third, fourth and fifth anniversary of March 14, 2012, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.