SEC Form 4 · accession 0001209191-17-064217
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
Dec 5, 2017
Accepted (ET)
Dec 6, 2017 · 5:12 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 | Dec 5, 2017 | M | 10,000 | $14.931 | A | 230,455 | D | |
| Common StockF2 | Dec 5, 2017 | F | 7,258 | $35.00 | D | 223,197 | 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 | Dec 5, 2017 | M | 10,000 | D | — | Dec 6, 2017 | Common Stock | 10,000 | 0 | D |
Explanation of responses
- F1Reflects correction of a mathematical error, which resulted in the overstatement of 750 shares in the total amount of shares beneficially owned, and includes 274 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan on October 31, 2017.
- F2Shares withheld in payment of the exercise price and tax withholding obligation.
- F3The shares subject to the option were fully vested on December 6, 2015.