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