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