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