SEC Form 4 · accession 0001209191-16-149749

BLACKHAWK NETWORK HOLDINGS, INC · HAWK

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — President and CEO · Director

Period of report

Nov 10, 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 Stock^F1	Nov 10, 2016	M	21,250	$13.631	A	134,654	D
Common Stock^F2	Nov 10, 2016	S	13,366	$35.164	D	121,288	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (Right to Buy)^F3	$13.631	Nov 10, 2016	M	21,250	D	—	Mar 9, 2017	Common Stock	21,250	0	D

F1Includes 210 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan on April 29, 2016 and 297 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan on October 31, 2016.
F2Transaction executed in multiple trades at prices ranging from $34.65 to $35.75 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.