SEC Form 4 · accession 0001209191-18-019336
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
Mar 12, 2018
Accepted (ET)
Mar 13, 2018 · 5:45 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 | Mar 12, 2018 | M | 1,987 | $0.00 | A | 58,773 | D | |
| Common StockF2,F3 | Mar 12, 2018 | F | 687 | $44.80 | D | 58,086 | 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 UnitsF4,F5,F6 | $0.00 | Mar 12, 2018 | M | 1,987 | D | Mar 12, 2018 | — | Common Stock | 1,987 | 0 | 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 vested on each of the first, second, third and fourth anniversaries of March 12, 2014. All of such 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 Issuer's common stock.