SEC Form 4 · accession 0001209191-17-033915
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
May 17, 2017
Accepted (ET)
May 19, 2017 · 4:06 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 Stock | May 17, 2017 | M | 40,000 | $14.931 | A | 240,931 | D | |
| Common StockF1,F2 | May 17, 2017 | S | 20,000 | $41.25 | D | 220,931 | D |
Table II — derivative securities
| 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 | $14.931 | May 17, 2017 | M | 40,000 | D | — | Dec 6, 2017 | Common Stock | 40,000 | 10,000 | D |
Explanation of responses
- F1Shares tendered in payment of option price and tax withholding obligation.
- F2Includes 400 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan on April 30, 2017.
- 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 December 6, 2010, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.