SEC Form 4 · accession 0001209191-17-010548
HSN, Inc. · HSNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Maria D. Martinez
Officer — Chief Human Resources Officer
Period of report
Feb 13, 2017
Accepted (ET)
Feb 14, 2017 · 5:22 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 | Feb 13, 2017 | M | 1,367 | — | A | 5,462 | D | |
| Common Stock, par value $0.01 per share | Feb 13, 2017 | F | 447 | $36.20 | D | 5,015 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F3 | — | Feb 13, 2017 | M | 1,367 | A | — | — | Common Stock, par value $0.01 per share | 1,367 | 0 | D |
Explanation of responses
- F1Restricted Stock Units ("RSUs") convert into stock on a one-for-one basis. Fractional shares are converted to cash.
- F2Represents shares of the company's common stock withheld to cover the payment of taxes in connection with the vesting of RSUs.
- F3All of such RSUs vested on February 13, 2017.