SEC Form 4 · accession 0001209191-16-156496
HSN, Inc. · HSNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Costello
Director
Period of report
Dec 20, 2016
Accepted (ET)
Dec 22, 2016 · 4:17 pm EST
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 | Dec 20, 2016 | A | 181 | $36.65 | A | 55,065 | 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 | — | Dec 20, 2016 | A | 150 | A | — | — | Common Stock, par value $0.01 per share | 150 | 15,867 | D |
Explanation of responses
- F1Includes 19,183.14 Deferred Share Units held by the reporting person under the Amended and Restated Deferred Compensation Plan for Non-Employee Directors as of December 20, 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.