SEC Form 4 · accession 0001209191-17-020604
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jerry N Ulrich
Officer — CFO & Chief Admin Officer
Period of report
Mar 12, 2017
Accepted (ET)
Mar 14, 2017 · 5:56 pm EDT
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,F2 | Mar 12, 2017 | M | 2,612 | — | A | 66,543 | D | |
| Common StockF3 | holding | — | — | — | 6,000 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock Unit (RSU)F1,F4 | — | Mar 12, 2017 | M | 2,612 | D | — | — | Common Stock | 2,612 | 2,612 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's Common Stock.
- F2This amount updates the Reporting Person's total holdings.
- F3The shares are held by The Ulrich Family Trust Dated November 1, 1996 as Amended and Restated in 2011.
- F4The 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 March 12, 2014, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
Remarks
Ex 24 - Power of Attorney (CE)