SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Carleton Mark D

(Last) (First) (Middle)
12300 LIBERTY BOULEVARD

(Street)
ENGLEWOOD CO 80112

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/01/2016
3. Issuer Name and Ticker or Trading Symbol
Liberty Interactive Corp [ QVCA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Series A Liberty Ventures Common Stock 6,702(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) - LVNTA (2) 03/19/2020 Series A Liberty Ventures Common Stock 9,037 $13.56 D
Stock Option (right to buy) - LVNTA (2) 03/19/2020 Series A Liberty Ventures Common Stock 8,390 $20.36 D
Stock Option (right to buy) - LVNTA (3) 03/04/2022 Series A Liberty Ventures Common Stock 31,914 $36.57 D
Stock Option (right to buy) - LVNTA (4) 03/04/2023 Series A Liberty Ventures Common Stock 70,809 $36.57 D
Stock Option (right to buy) QVCA (2) 03/19/2020 Series A QVC Group Common Stock 59,378 $17.74 D
Stock Option (right to buy) QVCA (3) 03/04/2022 Series A QVC Group Common Stock 112,875 $29.59 D
Stock Option (right to buy) QVCA (4) 03/04/2023 Series A QVC Group Common Stock 255,199 $29.59 D
Explanation of Responses:
1. Represents an award of restricted stock that is subject to satisfaction of performance-vesting conditions established by the Issuer's compensation committee.
2. The derivative security is fully vested.
3. One-third of the derivative security was vested as of October 1, 2016. The remainder vests 50% on March 4, 2017, and 50% on March 4, 2018.
4. The derivative security vests 50% on December 31, 2019, and 50% on December 31, 2020.
/s/ Craig Troyer as Attorney-in-Fact for Mark D. Carleton 10/07/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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