SEC Form 4 · accession 0001209191-16-142765
HSN, Inc. · HSNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Costello
Director
Period of report
Sep 22, 2016
Accepted (ET)
Sep 26, 2016 · 4:08 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 | Sep 22, 2016 | A | 162 | $39.60 | A | 54,381 | 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 | — | Sep 22, 2016 | A | 138 | A | — | — | Common Stock, par value $0.01 per share | 138 | 15,717 | D |
Explanation of responses
- F1Includes 18,499.165 Deferred Share Units held by the reporting person under the Amended and Restated Deferred Compensation Plan for Non-Employee Directors as of September 22, 2016.
- F2Each Deferred Stock Unit ("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.