SEC Form 4 · accession 0001209191-17-014515
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David C Tate
Officer — SVP, U.S. Retail
Period of report
Feb 22, 2017
Accepted (ET)
Feb 24, 2017 · 6:39 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 | Feb 22, 2017 | M | 2,113 | — | A | 39,337 | D | |
| Common StockF2 | Feb 22, 2017 | F | 794 | $37.45 | D | 38,543 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock (RSU)F1,F3 | — | Feb 22, 2017 | M | 2,113 | D | — | — | Common Stock | 2,113 | 6,337 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's Common Stock.
- F2Shares tendered in payment of the tax withholding obligation.
- F3The 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 February 22, 2016, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.