SEC Form 4 · accession 0001209191-17-035366
HSN, Inc. · HSNI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephanie Kugelman
Director
Period of report
May 24, 2017
Accepted (ET)
May 25, 2017 · 4:26 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001434729
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Stock UnitsF1,F2 | — | May 24, 2017 | A | 3,260 | A | — | — | Common Stock, par value $0.01 per share | 3,260 | 19,282 | D |
Explanation of responses
- F1Each deferred stock unit ("DSU") represents a contingent right to receive one share of common stock.
- F2Represents a grant of deferred stock units in connection with the reporting person's continuous service as a non-employee director of the company. The terms of the grant provide for 100% vesting on the earlier of (i) the first anniversary of the grant date or (ii) the date of the company's next annual meeting of shareholders. The DSUs will be settled in shares of the company's common stock approximately six months following the reporting person's retirement or other termination of service as a director.