SEC Form 4 · accession 0001209191-16-128489
HSN, Inc. · HSNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Costello
Director
Period of report
Jun 15, 2016
Accepted (ET)
Jun 17, 2016 · 3:31 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 shareF1 | Jun 15, 2016 | A | 127 | $49.19 | A | 53,810 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Stock UnitsF2 | — | Jun 15, 2016 | A | 110 | A | — | — | Common Stock, par value $0.01 per share | 110 | 15,579 | D |
Explanation of responses
- F1Includes 17,928.348 Deferred Share Units held by the reporting person under the Amended and Restated Deferred Compensation Plan for Non-Employee Directors as of June 15, 2016.
- F2Each DSU is the economic equivalent of one share of common stock. The DSUs convert into one share of common stock six months after the reporting person's termination of service as a director.