SEC Form 4 · accession 0001209191-16-136058
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
Aug 5, 2016
Accepted (ET)
Aug 9, 2016 · 3:11 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 | Aug 5, 2016 | M | 57,049 | $0.00 | A | 176,139 | D | |
| Common Stock, par value $0.01 per share | Aug 5, 2016 | F | 25,581 | $47.10 | D | 150,558 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Stock UnitsF1,F2 | — | Aug 5, 2016 | M | 57,900 | D | — | Aug 5, 2018 | Common Stock, par value $0.01 per share | 57,049 | 57,901 | D |
Explanation of responses
- F1The market leveraged restricted stock units, or market share units ("Target MSUs") are convertible into Common Stock based upon dividing the Vest Date Fair Market Value by the Grant Date Fair Market Value. "Grant Date Fair Market Value" means the average closing price of the Common Stock as reported by the Applicable Exchange for the 20 trading days ending on the Grant Date. "Vest Date Fair Market Value" means the average closing price of the Common Stock as reported by the Applicable Exchange for the 20 trading days ending on the Vest Date.
- F2The Target MSUs were granted on August 5, 2013 pursuant to the company's Second Amended and Restated 2008 Stock and Annual Incentive Plan, as amended. One half of the Target MSUs shall be eligible to vest on each of the third and fifth anniversaries of the grant date.