0001209191-16-149742.txt : 20161114 0001209191-16-149742.hdr.sgml : 20161111 20161114165041 ACCESSION NUMBER: 0001209191-16-149742 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161109 FILED AS OF DATE: 20161114 DATE AS OF CHANGE: 20161114 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLACKHAWK NETWORK HOLDINGS, INC CENTRAL INDEX KEY: 0001411488 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 432099257 STATE OF INCORPORATION: DE FISCAL YEAR END: 0103 BUSINESS ADDRESS: STREET 1: 6220 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 925-226-9990 MAIL ADDRESS: STREET 1: 6220 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 FORMER COMPANY: FORMER CONFORMED NAME: BLACKHAWK NETWORK HOLDINGS INC DATE OF NAME CHANGE: 20070904 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAUSCHER WILLIAM Y CENTRAL INDEX KEY: 0001034052 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 161995656 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-09 0 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0001034052 TAUSCHER WILLIAM Y 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 1 0 0 Executive Chairman Common Stock 2016-11-09 4 M 0 50000 13.631 A 69998 D Common Stock 2016-11-09 4 S 0 50000 33.856 D 19998 D Employee StockOption (Right to Buy) 13.631 2016-11-09 4 M 0 50000 0.00 D 2017-03-09 Common Stock 50000 178784 D Includes 570 shares acquired under the Blackhawk Network Holdings, Inc. 2013 Employee Stock Purchase Plan ("ESPP") on April 29, 2016. The ESPP shares were acquired in transactions exempt from Section 16(b). Transaction executed in multiple trades at prices ranging from $33.60 to $34.03 per share, inclusive. The price reported in column 4 of Table I above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. The shares vest pursuant to the following schedule: Twenty Percent (20%) of the shares subject to the option vest on each of the first, second, third, fourth and fifth anniversary of March 9, 2010, subject to the Reporting Person's continued employment or service relationship with the Company on each such vesting date. /s/ Yang Liu, Attorney-In-Fact 2016-11-11