0001209191-16-134692.txt : 20160801 0001209191-16-134692.hdr.sgml : 20160801 20160801175609 ACCESSION NUMBER: 0001209191-16-134692 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150728 FILED AS OF DATE: 20160801 DATE AS OF CHANGE: 20160801 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: SARIN ARUN CENTRAL INDEX KEY: 0001188405 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 161798450 MAIL ADDRESS: STREET 1: C/O SAFEWAY INC. STREET 2: 5918 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-07-28 0 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0001188405 SARIN ARUN 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 0 0 0 Common Stock 2016-07-28 4 M 0 25000 12.271 A 40529 D Common Stock 2016-07-28 4 S 0 25000 35.9204 D 15529 D Non-qualified stock option (right to buy) 12.271 2016-07-28 4 M 0 25000 0.00 D 2016-09-23 Common Stock 25000 0 D 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 August 24, 2009, 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 2016-08-01