SEC Form 4 · accession 0001209191-17-002264
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roche L Talbott Hoskins
Officer — President and CEO · Director
Period of report
Jan 3, 2017
Accepted (ET)
Jan 5, 2017 · 5:36 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 | Jan 3, 2017 | M | 37,800 | $0.00 | A | 159,088 | D | |
| Common StockF1 | Jan 3, 2017 | F | 15,980 | $38.00 | D | 143,108 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Shares (PSU)F2,F3 | — | Jan 3, 2017 | M | 37,800 | D | Jan 3, 2017 | — | Common Stock | 37,800 | 0 | D |
Explanation of responses
- F1Shares tendered in payment of the tax withholding obligation for the performance shares issued on January 3, 2017 under the 2014 Performance Share Award Agreement.
- F2Represents 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 Common Stock.
- F3Each performance share converts into one share of Common Stock upon vesting and settlement on January 3, 2017.