SEC Form 4 · accession 0001209191-18-013417
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gregory Scott Brown
Officer — SVP, International
Period of report
Feb 22, 2018
Accepted (ET)
Feb 26, 2018 · 5:05 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 | Feb 22, 2018 | M | 888 | $0.00 | A | 33,147 | D | |
| Common StockF2,F3 | Feb 22, 2018 | F | 315 | $44.65 | D | 32,832 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF6,F4,F5 | $0.00 | Feb 22, 2018 | M | 888 | D | — | — | Common Stock | 888 | 1,774 | D |
Explanation of responses
- F1Reflects shares of common stock acquired as a result of a partial vesting of Restricted Stock Units ("RSU").
- F2Represents shares of common stock forfeited to the Issuer to satisfy certain tax-withholding obligations of the Reporting Person arising as a result of the issuance of shares of common stock upon the vesting and settlement of RSUs.
- F3Represents the closing price of the common stock on the date of forfeiture.
- F4Twenty-Five Percent (25%) of the RSUs vest on each of first, second, third and fourth anniversaries of February 22, 2016, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date, of which an aggregate of 1,776 RSUs have vested and settled in shares of common stock as of the date of this Report.
- F5The RSUs terminate upon earlier of (i) the vesting thereof and settlement in shares of common stock, or (ii) the termination of the employment or service relationship of the Reporting Person with the Issuer.
- F6Each RSU represents a contingent right to receive one share of the Company's common stock.