SEC Form 4 · accession 0001209191-15-073783
HSN, Inc. · HSNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mindy F Grossman
Officer — CEO · Director
Period of report
Oct 1, 2015
Accepted (ET)
Oct 5, 2015 · 4:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001434729
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01 per share | Oct 1, 2015 | M | 88,818 | $31.00 | A | 229,327 | D | |
| Common Stock, par value $0.01 per share | Oct 1, 2015 | F | 66,240 | $57.24 | D | 163,087 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation Rights | $31.00 | Oct 1, 2015 | M | 88,818 | D | Feb 21, 2013 | Feb 21, 2022 | Common Stock, par value $0.01 per share | 88,818 | 0 | D |
Explanation of responses
- F1The exercise of Stock Appreciation Rights reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.