SEC Form 4 · accession 0001209191-18-019665
BLACKHAWK NETWORK HOLDINGS, INC · HAWK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Y Tauscher
Officer — Executive Chairman · Director
Period of report
Mar 13, 2018
Accepted (ET)
Mar 14, 2018 · 6:10 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,F2 | Mar 13, 2018 | M | 375,000 | $17.531 | A | 556,405 | D | |
| Common StockF3,F4 | Mar 13, 2018 | F | 259,996 | $44.75 | D | 296,409 | 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 Purchase) | $17.531 | Mar 13, 2018 | M | 375,000 | D | Aug 12, 2015 | Mar 14, 2018 | Common Stock | 375,000 | 0 | D |
Explanation of responses
- F1Reflects shares of common stock acquired upon exercise of stock options by the Reporting Person.
- F2Reflects the per-share exercise price of the common stock upon exercise of such stock options.
- F3Represents shares of common stock forfeited to the Issuer to satisfy the exercise price and tax-withholding obligations of the Reporting Person in connection with the exercise of stock options.
- F4Represents the closing price of the common stock on the date of forfeiture.