SEC Form 4/A · accession 0001209191-17-057671
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Jerry N Ulrich
Officer — CFO & Chief Admin Officer
Period of report
Jul 26, 2017
Accepted (ET)
Oct 20, 2017 · 5:32 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001411488
Table I — non-derivative securities
No Table I lines on this filing.
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)F1 | $21.03 | Jul 26, 2017 | M | 20,000 | D | — | Oct 18, 2018 | Common Stock | 20,000 | 0 | D |
| Stock Option (Right to Buy)F2 | $20.00 | Jul 26, 2017 | M | 55,000 | D | — | Mar 26, 2020 | Common Stock | 55,000 | 0 | D |
Explanation of responses
- F1The 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 March 14, 2011, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
- F2The 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.
Remarks
This amendment is filed solely to clarify that the transactions reported in Table 2 of the original filing were dispositions and to reflect the proper expiration date. Consistent with guidance from the SEC, only the line items requiring amendment are included herein.