SEC Form 4 · accession 0001209191-16-149742
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Y Tauscher
Officer — Executive Chairman · Director
Period of report
Nov 9, 2016
Accepted (ET)
Nov 14, 2016 · 4:50 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 StockF1 | Nov 9, 2016 | M | 50,000 | $13.631 | A | 69,998 | D | |
| Common StockF2 | Nov 9, 2016 | S | 50,000 | $33.856 | D | 19,998 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee StockOption (Right to Buy)F3 | $13.631 | Nov 9, 2016 | M | 50,000 | D | — | Mar 9, 2017 | Common Stock | 50,000 | 178,784 | D |
Explanation of responses
- F1Includes 570 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan ("ESPP") on April 29, 2016. The ESPP shares were acquired in transactions exempt from Section 16(b).
- F2Transaction executed in multiple trades at prices ranging from $33.60 to $34.03 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 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 Company on each such vesting date.