SEC Form 4 · accession 0001209191-17-047744
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
Aug 2, 2017
Accepted (ET)
Aug 4, 2017 · 5:06 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 StockF1 | Aug 2, 2017 | M | 6,537 | $26.73 | A | 48,225 | D | |
| Common Stock | Aug 2, 2017 | M | 6,875 | $20.00 | A | 55,100 | D | |
| Common StockF2 | Aug 2, 2017 | S | 13,412 | $42.8817 | D | 41,688 | D | |
| Common StockF3 | Aug 2, 2017 | S | 5,257 | $42.8846 | D | 36,431 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F4 | $26.73 | Aug 2, 2017 | M | 6,537 | D | — | Mar 12, 2021 | Common Stock | 6,537 | 6,537 | D |
| Stock Option (Right to Buy)F5 | $20.00 | Aug 2, 2017 | M | 6,875 | D | — | Mar 26, 2020 | Common Stock | 6,875 | 0 | D |
Explanation of responses
- F1Includes 213 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan on April 30, 2017.
- F2Transaction executed in multiple trades at prices ranging from $42.75 to $43.00 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.
- F3Transaction executed in multiple trades at prices ranging from $42.80 to $43.00 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.
- 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.
- F5The 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 26, 2013, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.