0001209191-15-028616.txt : 20150323
0001209191-15-028616.hdr.sgml : 20150323
20150323192839
ACCESSION NUMBER: 0001209191-15-028616
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150319
FILED AS OF DATE: 20150323
DATE AS OF CHANGE: 20150323
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: CRUM CHRISTOPHER C
CENTRAL INDEX KEY: 0001593932
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35882
FILM NUMBER: 15720237
MAIL ADDRESS:
STREET 1: C/O BLACKHAWK NETWORK HOLDINGS, INC.
STREET 2: 6220 STONERIDGE MALL ROAD
CITY: PLEASANTON
STATE: CA
ZIP: 94588
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-03-19
0
0001411488
BLACKHAWK NETWORK HOLDINGS, INC
HAWK
0001593932
CRUM CHRISTOPHER C
6220 STONERIDGE MALL RD
PLEASANTON
CA
94588
0
1
0
0
SVP, Sales
Class B Common Stock
2015-03-19
4
M
0
1900
13.63
A
3900
D
Class B Common Stock
2015-03-19
4
S
0
1900
33.54
D
2000
D
Class B Common Stock
2015-03-19
4
M
0
3000
21.03
A
5000
D
Class B Common Stock
2015-03-19
4
S
0
3000
33.54
D
2000
D
Class B Common Stock
2015-03-19
4
M
0
4500
18.49
A
6500
D
Class B Common Stock
2015-03-19
4
S
0
2020
33.56
D
4480
D
Class B Common Stock
2015-03-19
4
F
0
2480
33.56
D
2000
D
Stock Option (Right to Buy)
13.63
2015-03-19
4
M
0
1900
0.00
D
2017-03-09
Class B Common Stock
1900
0
D
Stock Option (Right to Buy)
21.03
2015-03-19
4
M
0
3000
0.00
D
2018-10-18
Class B Common Stock
3000
3000
D
Stock Appreciation Right
18.49
2015-03-19
4
M
0
4500
0.00
D
2019-05-14
Class B Common Stock
4500
9000
D
Transaction executed in multiple trades at prices ranging from $33.5401 to $33.55 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 Issuer on each such vesting date.
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 14, 2011, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
The stock appreciation rights (SAR) vest pursuant to the following schedule: Twenty Percent (20%) of the shares subject to the SAR vest on each of the first, second, third, fourth and fifth anniversary of March 14, 2012, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
/s/ Suzan S. Rowland, Attorney-in-Fact for Christopher C. Crum
2015-03-23